Community Primary Care, Pc | |
120 W 43rd St Bayonne NJ 07002-2005 | |
(201) 705-3015 | |
Not Available |
Full Name | Community Primary Care, Pc |
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Speciality | Clinic/Center |
Location | 120 W 43rd St, Bayonne, New Jersey |
Authorized Official Name and Position | Ahmed Seman (OWNER) |
Authorized Official Contact | 2017053015 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Primary Care, Pc 120 W 43rd St Bayonne NJ 07002-2005 Ph: () - | Community Primary Care, Pc 120 W 43rd St Bayonne NJ 07002-2005 Ph: (201) 705-3015 |
NPI Number | 1821452053 |
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Provider Enumeration Date | 04/13/2016 |
Last Update Date | 04/13/2016 |
Medicare PECOS PAC ID | 5991098493 |
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Medicare Enrollment ID | O20160721000069 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821452053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Ahmed Seman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942538715 PECOS PAC ID: 9830226133 Enrollment ID: I20100419000230 |
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