| Advanced Geriatrics Inc | |
|
246 Hamburg Tpke Suite 208 Wayne NJ 07470-2156 | |
| (973) 790-3433 | |
| (973) 790-0433 |
| Full Name | Advanced Geriatrics Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 246 Hamburg Tpke, Wayne, New Jersey |
| Authorized Official Name and Position | Nagwa Ismail Hafez (OWNER) |
| Authorized Official Contact | 9737903433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Geriatrics Inc 27 Almadera Dr Wayne NJ 07470-2471 Ph: (973) 790-3433 | Advanced Geriatrics Inc 246 Hamburg Tpke Suite 208 Wayne NJ 07470-2156 Ph: (973) 790-3433 |
| NPI Number | 1629308895 |
|---|---|
| Provider Enumeration Date | 01/11/2010 |
| Last Update Date | 01/11/2010 |
| Medicare PECOS PAC ID | 8325175888 |
|---|---|
| Medicare Enrollment ID | O20100415000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629308895 | NPI | - | NPPES |
| 0152811 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | MA08232200 (New Jersey) | Primary |
| Provider Name | Nagwa I Hafez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1487853875 PECOS PAC ID: 1456433473 Enrollment ID: I20080130000368 |
| Provider Name | Ramazan Bahar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407293764 PECOS PAC ID: 1456574284 Enrollment ID: I20140527000049 |
| Provider Name | Barbara R Millo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326573817 PECOS PAC ID: 5193099448 Enrollment ID: I20170925003212 |
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