| Dover Family Medicine, P.a. | |
|
2292 Clover Hill Ln Toms River NJ 08755-1393 | |
| (732) 323-0100 | |
| (732) 323-3779 |
| Full Name | Dover Family Medicine, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2292 Clover Hill Ln, Toms River, New Jersey |
| Authorized Official Name and Position | Paul Triolo (PRESIDENT) |
| Authorized Official Contact | 7323230100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dover Family Medicine, P.a. 2292 Clover Hill Ln Toms River NJ 08755-1393 Ph: (732) 323-0100 | Dover Family Medicine, P.a. 2292 Clover Hill Ln Toms River NJ 08755-1393 Ph: (732) 323-0100 |
| NPI Number | 1376677112 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 05/08/2014 |
| Medicare PECOS PAC ID | 3173532744 |
|---|---|
| Medicare Enrollment ID | O20090128000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376677112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA05532400 (New Jersey) | Primary |
| Provider Name | Paul Triolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821056151 PECOS PAC ID: 7012923758 Enrollment ID: I20060303000521 |
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