Behdokht Daneshvar, Llc | |
408 Bethel Rd Suite C-2 Somers Point NJ 08244-2172 | |
(609) 926-6900 | |
(609) 926-6995 |
Full Name | Behdokht Daneshvar, Llc |
---|---|
Speciality | Internal Medicine |
Location | 408 Bethel Rd, Somers Point, New Jersey |
Authorized Official Name and Position | Behdokht Daneshvar (OWNER) |
Authorized Official Contact | 6094850300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Behdokht Daneshvar, Llc 1015 New Rd 2nd Floor Northfield NJ 08225-1600 Ph: (609) 926-6900 | Behdokht Daneshvar, Llc 408 Bethel Rd Suite C-2 Somers Point NJ 08244-2172 Ph: (609) 926-6900 |
NPI Number | 1447512835 |
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Provider Enumeration Date | 06/12/2012 |
Last Update Date | 06/12/2012 |
Medicare PECOS PAC ID | 3375790892 |
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Medicare Enrollment ID | O20120905000522 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447512835 | NPI | - | NPPES |
8024804 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA06958500 (New Jersey) | Primary |
Provider Name | Behdokht Daneshvar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093745473 PECOS PAC ID: 2062559248 Enrollment ID: I20091020000553 |
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