Cornerstone Family Care Llc | |
1921 Oak Tree Rd Ste 103 Edison NJ 08820-2073 | |
(732) 242-4222 | |
(732) 242-4170 |
Full Name | Cornerstone Family Care Llc |
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Speciality | Family Medicine |
Location | 1921 Oak Tree Rd Ste 103, Edison, New Jersey |
Authorized Official Name and Position | Paul Kang (PHYSICIAN) |
Authorized Official Contact | 7322424222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cornerstone Family Care Llc 1921 Oak Tree Rd Ste 103 Edison NJ 08820-2073 Ph: (732) 242-4222 | Cornerstone Family Care Llc 1921 Oak Tree Rd Ste 103 Edison NJ 08820-2073 Ph: (732) 242-4222 |
NPI Number | 1215548698 |
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Provider Enumeration Date | 08/11/2020 |
Last Update Date | 06/02/2022 |
Medicare PECOS PAC ID | 3072931104 |
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Medicare Enrollment ID | O20200922000755 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215548698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Paul J Kang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760902100 PECOS PAC ID: 4981022019 Enrollment ID: I20200922000814 |
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