Infectious Disease Associates Of Monmouth Pc | |
717 N Beers St Holmdel NJ 07733-1524 | |
(732) 888-7381 | |
Not Available |
Full Name | Infectious Disease Associates Of Monmouth Pc |
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Speciality | Internal Medicine |
Location | 717 N Beers St, Holmdel, New Jersey |
Authorized Official Name and Position | Georgios Giannakopoulos (OWNER) |
Authorized Official Contact | 7328887381 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infectious Disease Associates Of Monmouth Pc Po Box 372 Holmdel NJ 07733-0372 Ph: (732) 888-7381 | Infectious Disease Associates Of Monmouth Pc 717 N Beers St Holmdel NJ 07733-1524 Ph: (732) 888-7381 |
NPI Number | 1275589749 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 01/23/2008 |
Medicare PECOS PAC ID | 2062516354 |
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Medicare Enrollment ID | O20070326000487 |
Identifier | Type | State | Issuer |
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1275589749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | MA67697 (New Jersey) | Primary |
Provider Name | George Giannakopoulos |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1093776759 PECOS PAC ID: 5799889085 Enrollment ID: I20070326000481 |
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