Am Pm Primary Care | |
19 S Washington Ave Bergenfield NJ 07621-2324 | |
(201) 387-0177 | |
(201) 966-0588 |
Full Name | Am Pm Primary Care |
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Speciality | Clinic/Center |
Location | 19 S Washington Ave, Bergenfield, New Jersey |
Authorized Official Name and Position | Wesley Thek (DIRECT OWNER) |
Authorized Official Contact | 2019231177 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Am Pm Primary Care 19 S Washington Ave Bergenfield NJ 07621-2324 Ph: (201) 387-0177 | Am Pm Primary Care 19 S Washington Ave Bergenfield NJ 07621-2324 Ph: (201) 387-0177 |
NPI Number | 1083045694 |
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Provider Enumeration Date | 12/06/2013 |
Last Update Date | 11/28/2023 |
Medicare PECOS PAC ID | 1254562291 |
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Medicare Enrollment ID | O20140317000013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083045694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 25MA06949100 (New Jersey) | Primary |
Provider Name | Wun-ye Jiu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104025170 PECOS PAC ID: 4284641945 Enrollment ID: I20060321000577 |
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