Dr. Edwards At Wayne Pc | |
705 Hamburg Tpke Wayne NJ 07470-2098 | |
(973) 922-1000 | |
Not Available |
Full Name | Dr. Edwards At Wayne Pc |
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Speciality | Clinic/center |
Location | 705 Hamburg Tpke, Wayne, New Jersey |
Authorized Official Name and Position | Magdy Mahmoud (CEO) |
Authorized Official Contact | 9736502009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Edwards At Wayne Pc 705 Hamburg Tpke Wayne NJ 07470-2098 Ph: (973) 922-1000 | Dr. Edwards At Wayne Pc 705 Hamburg Tpke Wayne NJ 07470-2098 Ph: (973) 922-1000 |
NPI Number | 1376915553 |
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Provider Enumeration Date | 10/27/2015 |
Last Update Date | 10/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376915553 | NPI | - | NPPES |
8234400 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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Sun Tao Studio L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-406-7088 Fax: 973-767-1290 | |
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