| Individual Physician Rendering Healthcare | |
|
3 Plaza Drive Suite 6 Toms River Primary Care Llc Toms River NJ 08757-3764 | |
| (732) 914-0070 | |
| (732) 914-0071 |
| Full Name | Individual Physician Rendering Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 3 Plaza Drive, Toms River, New Jersey |
| Authorized Official Name and Position | Jennifer Lee Giardina (MANAGING MEMBER MEDICAL DIRECTOR TO) |
| Authorized Official Contact | 7329140070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Individual Physician Rendering Healthcare 3 Plaza Drive Suite 6 Toms River Primary Care Llc Toms River NJ 08757-3764 Ph: (732) 914-0070 | Individual Physician Rendering Healthcare 3 Plaza Drive Suite 6 Toms River Primary Care Llc Toms River NJ 08757-3764 Ph: (732) 914-0070 |
| NPI Number | 1902971484 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6608062773 |
|---|---|
| Medicare Enrollment ID | O20101201000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902971484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB05373700 (New Jersey) | Primary |
| Provider Name | Jennifer L. Giardina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427221738 PECOS PAC ID: 7416143581 Enrollment ID: I20101201000786 |
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