| Advantage Medical Associates, Pa | |
|
561 Cranbury Rd East Brunswick NJ 08816-5400 | |
| (732) 390-7400 | |
| (732) 390-1900 |
| Full Name | Advantage Medical Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 561 Cranbury Rd, East Brunswick, New Jersey |
| Authorized Official Name and Position | Misha Basalaev (PRESIDENT) |
| Authorized Official Contact | 7323907400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Medical Associates, Pa 561 Cranbury Rd East Brunswick NJ 08816-5400 Ph: (732) 390-7400 | Advantage Medical Associates, Pa 561 Cranbury Rd East Brunswick NJ 08816-5400 Ph: (732) 390-7400 |
| NPI Number | 1023056637 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9537295977 |
|---|---|
| Medicare Enrollment ID | O20100325000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023056637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Misha Basalaev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144268137 PECOS PAC ID: 1557306370 Enrollment ID: I20050622001018 |
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