| Alliance Medical Group, P.c. | |
|
137 Mountain Ave Hackettstown NJ 07840-2307 | |
| (908) 852-1887 | |
| (908) 852-0614 |
| Full Name | Alliance Medical Group, P.c. |
|---|---|
| Speciality | General Practice |
| Location | 137 Mountain Ave, Hackettstown, New Jersey |
| Authorized Official Name and Position | Vineet Sandhu (OWNER) |
| Authorized Official Contact | 9088521887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Medical Group, P.c. 137 Mountain Ave Hackettstown NJ 07840-2307 Ph: (908) 852-1887 | Alliance Medical Group, P.c. 137 Mountain Ave Hackettstown NJ 07840-2307 Ph: (908) 852-1887 |
| NPI Number | 1952465569 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 4082502901 |
|---|---|
| Medicare Enrollment ID | O20040310000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952465569 | NPI | - | NPPES |
| 6672906 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Aditi Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972873065 PECOS PAC ID: 3870733678 Enrollment ID: I20130627000643 |
| Provider Name | Vineet Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891083127 PECOS PAC ID: 5597905679 Enrollment ID: I20160505000879 |
| Provider Name | Casimiera Liobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639599780 PECOS PAC ID: 0345507109 Enrollment ID: I20171204000024 |
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