| Harold V Mckenna, M.d., P.a. | |
|
305 Main St South Amboy NJ 08879-1602 | |
| (732) 721-1120 | |
| (732) 721-2102 |
| Full Name | Harold V Mckenna, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 305 Main St, South Amboy, New Jersey |
| Authorized Official Name and Position | Harold V Mckenna (PRESIDENT) |
| Authorized Official Contact | 7327211120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold V Mckenna, M.d., P.a. 305 Main St South Amboy NJ 08879-1602 Ph: (732) 721-1120 | Harold V Mckenna, M.d., P.a. 305 Main St South Amboy NJ 08879-1602 Ph: (732) 721-1120 |
| NPI Number | 1093052722 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 01/15/2013 |
| Medicare PECOS PAC ID | 4587817739 |
|---|---|
| Medicare Enrollment ID | O20130122000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093052722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Harold Mckenna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609959550 PECOS PAC ID: 5991723777 Enrollment ID: I20051110000173 |
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