| Bayfront Medical Associates, Llc | |
|
1809 John F Kennedy Blvd Ground Floor Jersey City NJ 07305-2184 | |
| (201) 763-6664 | |
| (201) 763-6840 |
| Full Name | Bayfront Medical Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1809 John F Kennedy Blvd, Jersey City, New Jersey |
| Authorized Official Name and Position | Dilruba Khanam (FAMILY MEDICINE PHYSICIAN) |
| Authorized Official Contact | 2017636664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayfront Medical Associates, Llc 1809 John F Kennedy Boulevard Ground Floor Jersey City NJ 07305-2184 Ph: (201) 763-6664 | Bayfront Medical Associates, Llc 1809 John F Kennedy Blvd Ground Floor Jersey City NJ 07305-2184 Ph: (201) 763-6664 |
| NPI Number | 1508168709 |
|---|---|
| Provider Enumeration Date | 11/22/2010 |
| Last Update Date | 11/22/2010 |
| Medicare PECOS PAC ID | 0143403097 |
|---|---|
| Medicare Enrollment ID | O20110330000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508168709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA07937600 (New Jersey) | Primary |
| Provider Name | Dilruba Khanam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548337322 PECOS PAC ID: 3173531142 Enrollment ID: I20060403000246 |
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