Edison Medical Associates Llc | |
35-37 Progress Street Suite A-4 Edison NJ 08820 | |
(908) 226-0600 | |
(908) 226-1802 |
Full Name | Edison Medical Associates Llc |
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Speciality | Internal Medicine |
Location | 35-37 Progress Street, Edison, New Jersey |
Authorized Official Name and Position | Radha Kumar (MEMBER) |
Authorized Official Contact | 9082260600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edison Medical Associates Llc 35-37 Progress Street Suite A-4 Edison NJ 08820 Ph: (908) 226-0600 | Edison Medical Associates Llc 35-37 Progress Street Suite A-4 Edison NJ 08820 Ph: (908) 226-0600 |
NPI Number | 1225043094 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4082886213 |
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Medicare Enrollment ID | O20111013000101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225043094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA66863 (New Jersey) | Primary |
Provider Name | Katalin Horvath |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609884303 PECOS PAC ID: 9133112345 Enrollment ID: I20040405001030 |
Provider Name | Radha Kumar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174539373 PECOS PAC ID: 8628240850 Enrollment ID: I20111013000092 |
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