| Eatontown Medical Associates, P.a. | |
|
158 Wyckoff Rd Eatontown NJ 07724-1840 | |
| (732) 544-9500 | |
| (732) 544-0132 |
| Full Name | Eatontown Medical Associates, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 158 Wyckoff Rd, Eatontown, New Jersey |
| Authorized Official Name and Position | Carlo Gallello (ADMINISTRATOR) |
| Authorized Official Contact | 7325449500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eatontown Medical Associates, P.a. 158 Wyckoff Rd Eatontown NJ 07724-1840 Ph: (732) 544-9500 | Eatontown Medical Associates, P.a. 158 Wyckoff Rd Eatontown NJ 07724-1840 Ph: (732) 544-9500 |
| NPI Number | 1639174790 |
|---|---|
| Provider Enumeration Date | 06/16/2005 |
| Last Update Date | 07/06/2010 |
| Medicare PECOS PAC ID | 5294821815 |
|---|---|
| Medicare Enrollment ID | O20071012000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639174790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04070200 (New Jersey) | Primary |
| Provider Name | Charles B Peeples |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477558518 PECOS PAC ID: 6608962238 Enrollment ID: I20071012000352 |
| Provider Name | Warren Keith Churgin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447255583 PECOS PAC ID: 7911093463 Enrollment ID: I20100927000681 |
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Preop Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Industrial Way W, Building A, Suite 200, Eatontown, NJ 07724 Phone: 732-440-8707 | |
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