| Center For Primary Care & Gastroenterology Llc | |
|
904 Oak Tree Ave Suite D South Plainfield NJ 07080-5126 | |
| (908) 755-3688 | |
| (908) 755-3788 |
| Full Name | Center For Primary Care & Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 904 Oak Tree Ave, South Plainfield, New Jersey |
| Authorized Official Name and Position | Saket Prasad (DIRECTOR) |
| Authorized Official Contact | 9087553688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Primary Care & Gastroenterology Llc 9 Renee Ct Edison NJ 08820-3634 Ph: (732) 494-0964 | Center For Primary Care & Gastroenterology Llc 904 Oak Tree Ave Suite D South Plainfield NJ 07080-5126 Ph: (908) 755-3688 |
| NPI Number | 1104988773 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104988773 | NPI | - | NPPES |
| 7959508 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA06520900 (New Jersey) | Primary |
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