Infinity Medical Services Llc | |
402 Rising Sun Rd Inside Petro Stopping Center Bordentown NJ 08505-4709 | |
(800) 991-5197 | |
(800) 991-0297 |
Full Name | Infinity Medical Services Llc |
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Speciality | Nurse Practitioner |
Location | 402 Rising Sun Rd, Bordentown, New Jersey |
Authorized Official Name and Position | David C Smerina (PRESIDENT) |
Authorized Official Contact | 8009915197 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infinity Medical Services Llc 31 Potomac Ct Freehold NJ 07728 Ph: (800) 991-5197 | Infinity Medical Services Llc 402 Rising Sun Rd Inside Petro Stopping Center Bordentown NJ 08505-4709 Ph: (800) 991-5197 |
NPI Number | 1538575907 |
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Provider Enumeration Date | 07/07/2014 |
Last Update Date | 01/29/2016 |
Medicare PECOS PAC ID | 8628372323 |
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Medicare Enrollment ID | O20160201000314 |
Identifier | Type | State | Issuer |
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1538575907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA05910300 (New Jersey) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NJ00124500 (New Jersey) | Primary |
Provider Name | David Smerina |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134138050 PECOS PAC ID: 2961559265 Enrollment ID: I20090402000086 |
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