| Garden State Medicine Pc | |
|
1594 Route 9 Ste 6 Toms River NJ 08755-3280 | |
| (732) 349-8888 | |
| Not Available |
| Full Name | Garden State Medicine Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1594 Route 9 Ste 6, Toms River, New Jersey |
| Authorized Official Name and Position | Sakshi Pawa (PHYSICIAN) |
| Authorized Official Contact | 7328616877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Medicine Pc 16 Diamond Hill Rd Marlboro NJ 07746-2164 Ph: (732) 861-6877 | Garden State Medicine Pc 1594 Route 9 Ste 6 Toms River NJ 08755-3280 Ph: (732) 349-8888 |
| NPI Number | 1588112163 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 09/13/2016 |
| Medicare PECOS PAC ID | 5294013793 |
|---|---|
| Medicare Enrollment ID | O20161104000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588112163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA08632000 (New Jersey) | Primary |
| Provider Name | Sakshi Pawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508099722 PECOS PAC ID: 1850430521 Enrollment ID: I20091209000587 |
| Provider Name | Helen Olairez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346640174 PECOS PAC ID: 1052636966 Enrollment ID: I20150218000957 |
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