Internal Medicine Associates Of Monmouth, Pc | |
145 Wyckoff Rd Ste 202a Eatontown NJ 07724-1878 | |
(732) 229-0509 | |
(732) 571-0019 |
Full Name | Internal Medicine Associates Of Monmouth, Pc |
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Speciality | Internal Medicine |
Location | 145 Wyckoff Rd Ste 202a, Eatontown, New Jersey |
Authorized Official Name and Position | Jeffrey C. Lederman (PHYSICIAN / OWNER) |
Authorized Official Contact | 7322290509 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Associates Of Monmouth, Pc 145 Wyckoff Rd Ste 202a Eatontown NJ 07724-1878 Ph: (732) 229-0509 | Internal Medicine Associates Of Monmouth, Pc 145 Wyckoff Rd Ste 202a Eatontown NJ 07724-1878 Ph: (732) 229-0509 |
NPI Number | 1770623027 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 02/16/2021 |
Medicare PECOS PAC ID | 3971559063 |
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Medicare Enrollment ID | O20050322000724 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770623027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jeffrey Craig Lederman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457365660 PECOS PAC ID: 5092973248 Enrollment ID: I20120220001060 |
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