Family Medicine Of East Brusnwick | |
647 Route 18 Ste A East Brunswick NJ 08816-3747 | |
(732) 947-6805 | |
Not Available |
Full Name | Family Medicine Of East Brusnwick |
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Speciality | Clinic/Center |
Location | 647 Route 18 Ste A, East Brunswick, New Jersey |
Authorized Official Name and Position | Vikas Shah (OWNER) |
Authorized Official Contact | 7329476805 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medicine Of East Brusnwick 14 Hilltop Blvd East Brunswick NJ 08816-2832 Ph: (732) 947-6805 | Family Medicine Of East Brusnwick 647 Route 18 Ste A East Brunswick NJ 08816-3747 Ph: (732) 947-6805 |
NPI Number | 1497483960 |
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Provider Enumeration Date | 08/11/2022 |
Last Update Date | 10/20/2022 |
Medicare PECOS PAC ID | 2062889249 |
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Medicare Enrollment ID | O20221031002796 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497483960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Vikas Shah |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497246219 PECOS PAC ID: 8820478209 Enrollment ID: I20220701000186 |
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