| Health-wise Family Care Center | |
|
400 W Front St Ofc 2 Plainfield NJ 07060-1120 | |
| (908) 432-7864 | |
| Not Available |
| Full Name | Health-wise Family Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 W Front St Ofc 2, Plainfield, New Jersey |
| Authorized Official Name and Position | Eva Veronica Henry (FNP-BC) |
| Authorized Official Contact | 9084327864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health-wise Family Care Center 1 Runyon Ave Piscataway NJ 08854-4612 Ph: (908) 432-7864 | Health-wise Family Care Center 400 W Front St Ofc 2 Plainfield NJ 07060-1120 Ph: (908) 432-7864 |
| NPI Number | 1275063679 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 2062785561 |
|---|---|
| Medicare Enrollment ID | O20170905003005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275063679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 26NJ00702000 (New Jersey) | Primary |
| Provider Name | Dawn Leah Hutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962815456 PECOS PAC ID: 7214221563 Enrollment ID: I20180213001034 |
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