Egg Harbor Medical Center | |
217 Philadelphia Ave Egg Harbor City NJ 08215-1330 | |
(609) 965-5700 | |
(609) 965-5719 |
Full Name | Egg Harbor Medical Center |
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Speciality | Family Medicine |
Location | 217 Philadelphia Ave, Egg Harbor City, New Jersey |
Authorized Official Name and Position | Chona Santos-miranda (PRESIDENT) |
Authorized Official Contact | 6099655700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Egg Harbor Medical Center 630 Bellevue Ave Hammonton NJ 08037-1935 Ph: (609) 965-5700 | Egg Harbor Medical Center 217 Philadelphia Ave Egg Harbor City NJ 08215-1330 Ph: (609) 965-5700 |
NPI Number | 1720009830 |
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Provider Enumeration Date | 07/22/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3375547714 |
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Medicare Enrollment ID | O20061005000462 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720009830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MA06592600 (New Jersey) | Primary |
Provider Name | Chona Santos Miranda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457383549 PECOS PAC ID: 7618940990 Enrollment ID: I20040816000394 |
Sensory Sessions With Serena Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 4th Ave, Egg Harbor City, NJ 08215 Phone: 609-276-8553 | |
Atlanticare Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Cincinnati Ave, Egg Harbor City, NJ 08215 Phone: 609-390-7814 |