| Edison Wellness Medical Group Pa | |
|
2 Ethel Rd Suite 203c Edison NJ 08817-2839 | |
| (732) 662-1100 | |
| (732) 662-1153 |
| Full Name | Edison Wellness Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Ethel Rd, Edison, New Jersey |
| Authorized Official Name and Position | Hao Zhang (PRESIDENT/PROVIDER) |
| Authorized Official Contact | 7326621100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edison Wellness Medical Group Pa 2 Ethel Rd Suite 203c Edison NJ 08817-2839 Ph: (732) 662-1100 | Edison Wellness Medical Group Pa 2 Ethel Rd Suite 203c Edison NJ 08817-2839 Ph: (732) 662-1100 |
| NPI Number | 1417483314 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 8123398005 |
|---|---|
| Medicare Enrollment ID | O20170726000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417483314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hao Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568732527 PECOS PAC ID: 9133446750 Enrollment ID: I20150423000607 |
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