Etheridge Family Medicine, L.l.c. | |
27 Clyde Rd Ste 102 Somerset NJ 08873-5039 | |
(732) 246-0057 | |
(732) 745-7070 |
Full Name | Etheridge Family Medicine, L.l.c. |
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Speciality | Family Medicine |
Location | 27 Clyde Rd Ste 102, Somerset, New Jersey |
Authorized Official Name and Position | Barbara Anne Etheridge (PHYSICIAN) |
Authorized Official Contact | 7322460057 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Etheridge Family Medicine, L.l.c. 27 Clyde Rd Ste 102 Somerset NJ 08873-5039 Ph: (732) 246-0057 | Etheridge Family Medicine, L.l.c. 27 Clyde Rd Ste 102 Somerset NJ 08873-5039 Ph: (732) 246-0057 |
NPI Number | 1700954476 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 01/25/2021 |
Medicare PECOS PAC ID | 3577692813 |
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Medicare Enrollment ID | O20100527000330 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700954476 | NPI | - | NPPES |
2311539001 | Other | AMERIHEALTH | |
2025674 | Other | AETNA | |
2K7104 | Other | ACS HEALTHNET | |
P1087747 | Other | OXFORD | |
4197625010 | Other | CIGNA | |
8669281 | Other | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Barbara Anne Etheridge |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184792814 PECOS PAC ID: 5294703435 Enrollment ID: I20040924000148 |
Provider Name | Sarah J Shah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669196721 PECOS PAC ID: 7214309897 Enrollment ID: I20230208000109 |
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