Amg Acute And Post - Acute Care Corporation | |
73 Park Street 3rd Floor Monticlair NJ 07042 | |
(973) 746-0595 | |
Not Available |
Full Name | Amg Acute And Post - Acute Care Corporation |
---|---|
Speciality | Internal Medicine |
Location | 73 Park Street, Monticlair, New Jersey |
Authorized Official Name and Position | Bharat Allam (OWNER) |
Authorized Official Contact | 9737460595 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Amg Acute And Post - Acute Care Corporation Po Box 1618 Evansville IN 47706-0020 Ph: () - | Amg Acute And Post - Acute Care Corporation 73 Park Street 3rd Floor Monticlair NJ 07042 Ph: (973) 746-0595 |
NPI Number | 1346933934 |
---|---|
Provider Enumeration Date | 05/30/2023 |
Last Update Date | 05/30/2023 |
Medicare PECOS PAC ID | 0143680652 |
---|---|
Medicare Enrollment ID | O20230715000750 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346933934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Naveen Allam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790051191 PECOS PAC ID: 0648580241 Enrollment ID: I20151111001746 |
Provider Name | Bharat Reddy Allam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780001891 PECOS PAC ID: 8224307905 Enrollment ID: I20170712001518 |