| Eugene Gu Md Pc | |
|
30 Central Park S Rm 10a New York NY 10019-1628 | |
| (408) 762-5948 | |
| (408) 762-5948 |
| Full Name | Eugene Gu Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 30 Central Park S Rm 10a, New York, New York |
| Authorized Official Name and Position | Eugene Gu (OWNER) |
| Authorized Official Contact | 8888012012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Gu Md Pc 920 N 1st St Renton WA 98057-5759 Ph: (888) 801-2012 | Eugene Gu Md Pc 30 Central Park S Rm 10a New York NY 10019-1628 Ph: (408) 762-5948 |
| NPI Number | 1700459336 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 03/02/2022 |
| Medicare PECOS PAC ID | 7012311087 |
|---|---|
| Medicare Enrollment ID | O20210812002816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700459336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Suresh Paulus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649376740 PECOS PAC ID: 2466365465 Enrollment ID: I20031106000390 |
| Provider Name | John Tsialas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629008602 PECOS PAC ID: 7315997921 Enrollment ID: I20050131000745 |
| Provider Name | Oksana Genzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659638534 PECOS PAC ID: 6709193121 Enrollment ID: I20150917002115 |
| Provider Name | Monica Amona Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20201008000329 |
| Provider Name | Jessica Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437513447 PECOS PAC ID: 8628368305 Enrollment ID: I20210812003254 |
| Provider Name | Eugene Gu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659753176 PECOS PAC ID: 5698198802 Enrollment ID: I20210812003431 |
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