| Community Medical Care Llc | |
|
500 Westfield Ave Elizabeth NJ 07208-1642 | |
| (908) 994-1500 | |
| Not Available |
| Full Name | Community Medical Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Westfield Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Edward Rakler (MANAGING PARTNER) |
| Authorized Official Contact | 9089941500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Care Llc 500 Westfield Ave Elizabeth NJ 07208-1642 Ph: (908) 994-1500 | Community Medical Care Llc 500 Westfield Ave Elizabeth NJ 07208-1642 Ph: (908) 994-1500 |
| NPI Number | 1649356577 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 05/20/2009 |
| Medicare PECOS PAC ID | 5597867242 |
|---|---|
| Medicare Enrollment ID | O20070227000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649356577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA05186600 (New Jersey) | Primary |
| Provider Name | Arturo D Jimenez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164532909 PECOS PAC ID: 1456343565 Enrollment ID: I20040331000133 |
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