Great Hope Medical Group Inc | |
690 Avenue C Bayonne NJ 07002 | |
(201) 339-1119 | |
Not Available |
Full Name | Great Hope Medical Group Inc |
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Speciality | Family Medicine |
Location | 690 Avenue C, Bayonne, New Jersey |
Authorized Official Name and Position | Alma Ramos (MANAGER) |
Authorized Official Contact | 2012841696 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Great Hope Medical Group Inc 690 Avenue C Bayonne NJ 07002-2803 Ph: () - | Great Hope Medical Group Inc 690 Avenue C Bayonne NJ 07002 Ph: (201) 339-1119 |
NPI Number | 1245705474 |
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Provider Enumeration Date | 10/03/2018 |
Last Update Date | 03/04/2019 |
Medicare PECOS PAC ID | 2163761792 |
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Medicare Enrollment ID | O20190226003193 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245705474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | David L Abraham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538597166 PECOS PAC ID: 6204137490 Enrollment ID: I20151211001993 |
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