East Brunswick Primary Care, Pa | |
F1 Brier Hill Ct East Brunswick NJ 08816-3337 | |
(732) 603-0055 | |
(732) 603-8228 |
Full Name | East Brunswick Primary Care, Pa |
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Speciality | Clinic/Center |
Location | F1 Brier Hill Ct, East Brunswick, New Jersey |
Authorized Official Name and Position | Dena Y Li (MD) |
Authorized Official Contact | 7326030055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Brunswick Primary Care, Pa 15 Timber Rd Edison NJ 08820-3204 Ph: (732) 603-0055 | East Brunswick Primary Care, Pa F1 Brier Hill Ct East Brunswick NJ 08816-3337 Ph: (732) 603-0055 |
NPI Number | 1750680393 |
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Provider Enumeration Date | 03/22/2011 |
Last Update Date | 03/22/2011 |
Medicare PECOS PAC ID | 9830369941 |
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Medicare Enrollment ID | O20110829000423 |
Identifier | Type | State | Issuer |
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1750680393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | MA69929 (New Jersey) | Primary |
Provider Name | Dena Y Li |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083671549 PECOS PAC ID: 0345201240 Enrollment ID: I20041025000179 |
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