| Elderpath Medical Pc | |
|
306 Blauvelt Ct Paramus NJ 07652-1763 | |
| (201) 689-0604 | |
| (973) 750-3647 |
| Full Name | Elderpath Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 306 Blauvelt Ct, Paramus, New Jersey |
| Authorized Official Name and Position | Jatinder Singh Sawhney (PRINCIPAL) |
| Authorized Official Contact | 2016890604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elderpath Medical Pc 306 Blauvelt Ct Paramus NJ 07652-1763 Ph: (201) 689-0604 | Elderpath Medical Pc 306 Blauvelt Ct Paramus NJ 07652-1763 Ph: (201) 689-0604 |
| NPI Number | 1417191818 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 04/29/2009 |
| Medicare PECOS PAC ID | 1951586213 |
|---|---|
| Medicare Enrollment ID | O20110502000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417191818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 25MA06458400 (New Jersey) | Primary |
| Provider Name | Jatinder S Sawhney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407880552 PECOS PAC ID: 8729971262 Enrollment ID: I20040206000618 |
| Provider Name | Leelamma Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992039002 PECOS PAC ID: 2860681087 Enrollment ID: I20110104000686 |
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