| Img Medical Group De, P.a. | |
|
244 N Congress Ave # 2a Boynton Beach FL 33426-4212 | |
| (888) 760-4266 | |
| Not Available |
| Full Name | Img Medical Group De, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 244 N Congress Ave # 2a, Boynton Beach, Florida |
| Authorized Official Name and Position | Robert Refowitz (PRESIDENT) |
| Authorized Official Contact | 9173349589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Img Medical Group De, P.a. 201 Broad St Ste 420 Stamford CT 06901-2004 Ph: (917) 334-9589 | Img Medical Group De, P.a. 244 N Congress Ave # 2a Boynton Beach FL 33426-4212 Ph: (888) 760-4266 |
| NPI Number | 1720708589 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 06/25/2024 |
| Medicare PECOS PAC ID | 4789044348 |
|---|---|
| Medicare Enrollment ID | O20230714002106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720708589 | NPI | - | NPPES |
| Provider Name | Jason Lee Chertoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336571116 PECOS PAC ID: 5193952240 Enrollment ID: I20230919002884 |
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