| Essex Digestive Healthcare Pc | |
|
2060 Millburn Ave Maplewood NJ 07040-3713 | |
| (973) 642-3155 | |
| (973) 642-0047 |
| Full Name | Essex Digestive Healthcare Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2060 Millburn Ave, Maplewood, New Jersey |
| Authorized Official Name and Position | Amol Shah (OWNER) |
| Authorized Official Contact | 9736342184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essex Digestive Healthcare Pc 92 W Mcclellan Ave Livingston NJ 07039-1245 Ph: (973) 642-3155 | Essex Digestive Healthcare Pc 2060 Millburn Ave Maplewood NJ 07040-3713 Ph: (973) 642-3155 |
| NPI Number | 1033889589 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 06/15/2023 |
| Medicare PECOS PAC ID | 4486052875 |
|---|---|
| Medicare Enrollment ID | O20211015001537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033889589 | NPI | - | NPPES |
| 1912347030 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Amol Rajan Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912347030 PECOS PAC ID: 6709200611 Enrollment ID: I20200724002052 |
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Marven Wallen & S. Kenneth Jacobson, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1985 Springfield Ave, Maplewood, NJ 07040 Phone: 973-763-5010 Fax: 973-761-6980 | |
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Michael Goldfarb,m.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 Millburn Ave, Suite C6, Maplewood, NJ 07040 Phone: 973-762-8200 Fax: 973-762-8203 | |
Guy A. Francis, Md,l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2130 Millburn Ave, Suite C-3, Maplewood, NJ 07040 Phone: 973-763-2555 Fax: 973-763-2558 | |
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