| Apollo Health Llc | |
|
2142 Route 70 Manchester NJ 08759-4735 | |
| (732) 408-9585 | |
| (732) 408-9586 |
| Full Name | Apollo Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2142 Route 70, Manchester, New Jersey |
| Authorized Official Name and Position | Thelma Mapa Buerano (OWNER) |
| Authorized Official Contact | 7324089585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apollo Health Llc 2142 Route 70 Manchester NJ 08759-4735 Ph: (732) 408-9585 | Apollo Health Llc 2142 Route 70 Manchester NJ 08759-4735 Ph: (732) 408-9585 |
| NPI Number | 1518186709 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 07/27/2010 |
| Medicare PECOS PAC ID | 0446212245 |
|---|---|
| Medicare Enrollment ID | O20041103000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518186709 | NPI | - | NPPES |
| 0051136 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA07716200 (New Jersey) | Primary |
| Provider Name | Thelma M Buerano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487731543 PECOS PAC ID: 7618939315 Enrollment ID: I20041103000778 |
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