Elizabeth Primary Care, Llc | |
240 Williamson St Ste 506 Elizabeth NJ 07202-3673 | |
(908) 436-9494 | |
(908) 436-9299 |
Full Name | Elizabeth Primary Care, Llc |
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Speciality | Internal Medicine |
Location | 240 Williamson St Ste 506, Elizabeth, New Jersey |
Authorized Official Name and Position | Sanjay Batta (CEO) |
Authorized Official Contact | 9084369494 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Primary Care, Llc 240 Williamson St Ste 506 Elizabeth NJ 07202-3673 Ph: (908) 436-9494 | Elizabeth Primary Care, Llc 240 Williamson St Ste 506 Elizabeth NJ 07202-3673 Ph: (908) 436-9494 |
NPI Number | 1255317046 |
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Provider Enumeration Date | 12/22/2005 |
Last Update Date | 02/02/2021 |
Medicare PECOS PAC ID | 6204011778 |
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Medicare Enrollment ID | O20110427000142 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255317046 | NPI | - | NPPES |
7384904 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA65723 (New Jersey) | Primary |
Provider Name | Sanjay Batta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669693552 PECOS PAC ID: 0547157802 Enrollment ID: I20110502000252 |
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