| Botox And Family Associates Llc | |
|
20 Hospital Dr Toms River NJ 08755-6434 | |
| (732) 341-9900 | |
| Not Available |
| Full Name | Botox And Family Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 20 Hospital Dr, Toms River, New Jersey |
| Authorized Official Name and Position | Susan Coletti (OFFICE STAFF) |
| Authorized Official Contact | 7323419900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Botox And Family Associates Llc 20 Hospital Dr Toms River NJ 08755-6434 Ph: (732) 341-9900 | Botox And Family Associates Llc 20 Hospital Dr Toms River NJ 08755-6434 Ph: (732) 341-9900 |
| NPI Number | 1235614744 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 10/01/2018 |
| Medicare PECOS PAC ID | 0840535993 |
|---|---|
| Medicare Enrollment ID | O20181219000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235614744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Prabhat Sinha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013988286 PECOS PAC ID: 1951437797 Enrollment ID: I20100331000209 |
| Provider Name | Marilou Tan Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235672916 PECOS PAC ID: 1153603576 Enrollment ID: I20170119002766 |
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