| Bharati D Penupatruni Md Llc | |
|
4 Drinking Brook Rd Monmouth Jct NJ 08852-2800 | |
| (908) 307-5695 | |
| Not Available |
| Full Name | Bharati D Penupatruni Md Llc |
|---|---|
| Speciality | General Practice |
| Location | 4 Drinking Brook Rd, Monmouth Jct, New Jersey |
| Authorized Official Name and Position | Bharati D Penupatruni (OWNER) |
| Authorized Official Contact | 9083075695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bharati D Penupatruni Md Llc 4 Drinking Brook Rd Monmouth Jct NJ 08852-2800 Ph: () - | Bharati D Penupatruni Md Llc 4 Drinking Brook Rd Monmouth Jct NJ 08852-2800 Ph: (908) 307-5695 |
| NPI Number | 1760928014 |
|---|---|
| Provider Enumeration Date | 01/10/2017 |
| Last Update Date | 01/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760928014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 25MA05220800 (New Jersey) | Primary |
Convenient Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Ridge Rd, Ste:104, Monmouth Jct, NJ 08852 Phone: 732-329-8215 |