| Great Hope Medical Group Inc | |
|
690 Avenue C Bayonne NJ 07002 | |
| (201) 339-1119 | |
| Not Available |
| Full Name | Great Hope Medical Group Inc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 03/04/2019 |
| Medicare PECOS PAC ID | 2163761792 |
|---|---|
| Medicare Enrollment ID | O20190226003193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245705474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David L Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538597166 PECOS PAC ID: 6204137490 Enrollment ID: I20151211001993 |
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