Avenel Primary Care | |
239 Avenel St Ste 4 Avenel NJ 07001-1400 | |
(973) 406-6564 | |
Not Available |
Full Name | Avenel Primary Care |
---|---|
Speciality | Family Medicine |
Location | 239 Avenel St Ste 4, Avenel, New Jersey |
Authorized Official Name and Position | Haroon Arshad (OWNER) |
Authorized Official Contact | 3476102528 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Avenel Primary Care 14 Westminster Dr Montville NJ 07045-9655 Ph: (917) 940-5448 | Avenel Primary Care 239 Avenel St Ste 4 Avenel NJ 07001-1400 Ph: (973) 406-6564 |
NPI Number | 1356019293 |
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Provider Enumeration Date | 09/04/2021 |
Last Update Date | 08/19/2024 |
Medicare PECOS PAC ID | 4183005440 |
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Medicare Enrollment ID | O20220718001607 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356019293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Haroon Arshad |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942694419 PECOS PAC ID: 6800186149 Enrollment ID: I20171218002003 |
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