| Bruce L Warshauer Md Llc | |
|
2424 Bridge Ave Point Pleasant Boro NJ 08742-4335 | |
| (732) 295-0100 | |
| (732) 295-0741 |
| Full Name | Bruce L Warshauer Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2424 Bridge Ave, Point Pleasant Boro, New Jersey |
| Authorized Official Name and Position | Carol Sue Catherine Kessler (ASSISTANT) |
| Authorized Official Contact | 7322950100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce L Warshauer Md Llc 2424 Bridge Ave Point Pleasant Boro NJ 08742-4335 Ph: (732) 295-0100 | Bruce L Warshauer Md Llc 2424 Bridge Ave Point Pleasant Boro NJ 08742-4335 Ph: (732) 295-0100 |
| NPI Number | 1467647438 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/19/2007 |
| Medicare PECOS PAC ID | 5294797817 |
|---|---|
| Medicare Enrollment ID | O20041027000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467647438 | NPI | - | NPPES |
| 3076105 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 25MA04024200 (New Jersey) | Primary |
| Provider Name | Bruce L Warshauer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831112689 PECOS PAC ID: 7810886702 Enrollment ID: I20040310001233 |
| Provider Name | Emily M Warshauer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912317892 PECOS PAC ID: 0941559124 Enrollment ID: I20190321002434 |
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