Bc Medical Care Llc | |
1747 Hooper Ave Unit 8 Toms River NJ 08753-8165 | |
(732) 255-6777 | |
(732) 255-6669 |
Full Name | Bc Medical Care Llc |
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Speciality | Internal Medicine |
Location | 1747 Hooper Ave, Toms River, New Jersey |
Authorized Official Name and Position | Leslie R Cauvin (PHYSICIAN) |
Authorized Official Contact | 7328646833 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bc Medical Care Llc 1747 Hooper Ave Unit 8 Toms River NJ 08753-8165 Ph: (732) 255-6777 | Bc Medical Care Llc 1747 Hooper Ave Unit 8 Toms River NJ 08753-8165 Ph: (732) 255-6777 |
NPI Number | 1912140229 |
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Provider Enumeration Date | 04/16/2009 |
Last Update Date | 04/16/2009 |
Medicare PECOS PAC ID | 7214089853 |
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Medicare Enrollment ID | O20090713000639 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912140229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MB066721 (New Jersey) | Primary |
Provider Name | Leslie R Cauvin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669478483 PECOS PAC ID: 1850443490 Enrollment ID: I20090813000618 |
Provider Name | Traci D Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306366455 PECOS PAC ID: 5890060008 Enrollment ID: I20171013000264 |
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