Eastern Medical Associates, P.c. | |
101 Prospect St Ste 212 Lakewood NJ 08701-5003 | |
(732) 886-9400 | |
(732) 905-7719 |
Full Name | Eastern Medical Associates, P.c. |
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Speciality | Internal Medicine |
Location | 101 Prospect St Ste 212, Lakewood, New Jersey |
Authorized Official Name and Position | Teresa Elizabeth Thomas (PRESIDENT) |
Authorized Official Contact | 7328869400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eastern Medical Associates, P.c. 101 Prospect St Ste 212 Lakewood NJ 08701-5003 Ph: (732) 886-9400 | Eastern Medical Associates, P.c. 101 Prospect St Ste 212 Lakewood NJ 08701-5003 Ph: (732) 886-9400 |
NPI Number | 1801821251 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 01/04/2011 |
Medicare PECOS PAC ID | 0244209336 |
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Medicare Enrollment ID | O20040927000240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801821251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Teresa E Thomas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417976531 PECOS PAC ID: 3173591831 Enrollment ID: I20040921000023 |
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