| Holistic Approach Direct Primary Care Center Llc | |
|
501 Bay Ave Ste 105 Somers Point NJ 08244-2554 | |
| (609) 299-1230 | |
| Not Available |
| Full Name | Holistic Approach Direct Primary Care Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 Bay Ave Ste 105, Somers Point, New Jersey |
| Authorized Official Name and Position | Latoya Roberts (OWNER) |
| Authorized Official Contact | 6092991230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Approach Direct Primary Care Center Llc 501 Bay Ave Ste 105 Somers Point NJ 08244-2554 Ph: (609) 299-1230 | Holistic Approach Direct Primary Care Center Llc 501 Bay Ave Ste 105 Somers Point NJ 08244-2554 Ph: (609) 299-1230 |
| NPI Number | 1013769389 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/02/2024 |
| Medicare PECOS PAC ID | 6709227499 |
|---|---|
| Medicare Enrollment ID | O20240513001638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013769389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Latoya Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194012856 PECOS PAC ID: 2668767849 Enrollment ID: I20191114001013 |
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