| Infectious Disease Consultants, Pc | |
|
1245 Whitehorse Mercerville Rd Suite 411 Mercerville NJ 08619-3831 | |
| (609) 581-2000 | |
| (609) 581-5450 |
| Full Name | Infectious Disease Consultants, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1245 Whitehorse Mercerville Rd, Mercerville, New Jersey |
| Authorized Official Name and Position | Richard B Porwancher (PRESIDENT) |
| Authorized Official Contact | 6095812000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants, Pc 1245 Whitehorse Mercerville Rd Suite 411 Mercerville NJ 08619-3831 Ph: (609) 581-2000 | Infectious Disease Consultants, Pc 1245 Whitehorse Mercerville Rd Suite 411 Mercerville NJ 08619-3831 Ph: (609) 581-2000 |
| NPI Number | 1093777187 |
|---|---|
| Provider Enumeration Date | 04/04/2006 |
| Last Update Date | 05/15/2008 |
| Medicare PECOS PAC ID | 2163499542 |
|---|---|
| Medicare Enrollment ID | O20040915000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093777187 | NPI | - | NPPES |
| DG9196 | Other | NJ | RAILROAD MEDICARE |
| 3302709 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Anamika K Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700892494 PECOS PAC ID: 6709853435 Enrollment ID: I20040913001110 |
| Provider Name | Tahir Farooq |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376759100 PECOS PAC ID: 0446343743 Enrollment ID: I20070831000415 |
| Provider Name | Suja Mathai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356518187 PECOS PAC ID: 7012064454 Enrollment ID: I20090422000080 |
| Provider Name | Syed A Husain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326054008 PECOS PAC ID: 7719002369 Enrollment ID: I20100920000399 |
| Provider Name | Richard B Porwancher |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841206521 PECOS PAC ID: 0143297887 Enrollment ID: I20100924000140 |
| Provider Name | Ezza A Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174836365 PECOS PAC ID: 5395996003 Enrollment ID: I20170303001715 |
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