| Dr. Pablo Bencosme, Pc | |
|
188 Market St Perth Amboy NJ 08861-4328 | |
| (732) 442-4251 | |
| (732) 442-1787 |
| Full Name | Dr. Pablo Bencosme, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 188 Market St, Perth Amboy, New Jersey |
| Authorized Official Name and Position | Pablo Bencosme (MEDICAL DOCTOR) |
| Authorized Official Contact | 7324424251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Pablo Bencosme, Pc 188 Market St Perth Amboy NJ 08861-4328 Ph: (732) 442-4251 | Dr. Pablo Bencosme, Pc 188 Market St Perth Amboy NJ 08861-4328 Ph: (732) 442-4251 |
| NPI Number | 1811159213 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811159213 | NPI | - | NPPES |
| 3091902 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA03742900 (New Jersey) | Primary |
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Northeast Healthcare Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Market St, Perth Amboy, NJ 08861 Phone: 770-874-1122 Fax: 770-792-7893 | |
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