| Healthcare Md Llc | |
|
904 Oak Tree Ave Ste J South Plainfield NJ 07080-5132 | |
| (732) 372-5063 | |
| (888) 225-7592 |
| Full Name | Healthcare Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 904 Oak Tree Ave Ste J, South Plainfield, New Jersey |
| Authorized Official Name and Position | Priti J Mehta (OWNER) |
| Authorized Official Contact | 7323725063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Md Llc 815 Village Dr Edison NJ 08817-2635 Ph: (732) 372-5063 | Healthcare Md Llc 904 Oak Tree Ave Ste J South Plainfield NJ 07080-5132 Ph: (732) 372-5063 |
| NPI Number | 1457802639 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/06/2018 |
| Medicare PECOS PAC ID | 0143501783 |
|---|---|
| Medicare Enrollment ID | O20161220000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457802639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA08524100 (New Jersey) | Primary |
| Provider Name | Priti Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881831469 PECOS PAC ID: 7113107293 Enrollment ID: I20110207000479 |
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