Clinton Medical Associates Pa | |
707 S Orange Ave South Orange NJ 07079-2698 | |
(973) 761-6111 | |
(973) 761-4990 |
Full Name | Clinton Medical Associates Pa |
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Speciality | Internal Medicine |
Location | 707 S Orange Ave, South Orange, New Jersey |
Authorized Official Name and Position | Manisha Kadakia (BILLER) |
Authorized Official Contact | 9737616111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinton Medical Associates Pa 707 S Orange Ave South Orange NJ 07079-2698 Ph: (973) 761-6111 | Clinton Medical Associates Pa 707 S Orange Ave South Orange NJ 07079-2698 Ph: (973) 761-6111 |
NPI Number | 1295747871 |
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Provider Enumeration Date | 08/12/2006 |
Last Update Date | 10/18/2012 |
Medicare PECOS PAC ID | 9133109150 |
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Medicare Enrollment ID | O20040721000984 |
Identifier | Type | State | Issuer |
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1295747871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MA043348 (New Jersey) | Primary |
Provider Name | Dinesh R Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285702829 PECOS PAC ID: 9436191962 Enrollment ID: I20050928000381 |
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