| Family Care Of Somerset, Llc | |
|
80 N Gaston Ave Somerville NJ 08876-2425 | |
| (908) 218-1121 | |
| Not Available |
| Full Name | Family Care Of Somerset, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 80 N Gaston Ave, Somerville, New Jersey |
| Authorized Official Name and Position | Lorraine F. Depass (DOCTOR) |
| Authorized Official Contact | 9082181121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Of Somerset, Llc 80 N Gaston Ave Somerville NJ 08876-2425 Ph: (908) 218-1121 | Family Care Of Somerset, Llc 80 N Gaston Ave Somerville NJ 08876-2425 Ph: (908) 218-1121 |
| NPI Number | 1548478241 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 05/08/2012 |
| Medicare PECOS PAC ID | 1557305513 |
|---|---|
| Medicare Enrollment ID | O20050610000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548478241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA65356 (New Jersey) | Primary |
| Provider Name | Lorraine F Depass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194738203 PECOS PAC ID: 5294779252 Enrollment ID: I20050610000750 |
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