Family Care Md Llc | |
76 W Main St Ste 104 Freehold NJ 07728-2148 | |
(732) 637-5292 | |
(732) 637-5299 |
Full Name | Family Care Md Llc |
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Speciality | Family Medicine |
Location | 76 W Main St Ste 104, Freehold, New Jersey |
Authorized Official Name and Position | Siuhan Abate (OWNER) |
Authorized Official Contact | 8624380684 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Family Care Md Llc 76 W Main St Ste 104 Freehold NJ 07728-2148 Ph: (732) 637-5292 | Family Care Md Llc 76 W Main St Ste 104 Freehold NJ 07728-2148 Ph: (732) 637-5292 |
NPI Number | 1104529452 |
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Provider Enumeration Date | 03/24/2023 |
Last Update Date | 09/23/2024 |
Medicare PECOS PAC ID | 3274994322 |
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Medicare Enrollment ID | O20230804002509 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104529452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Siu-han Abate |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871884007 PECOS PAC ID: 4385863331 Enrollment ID: I20171113000674 |
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