| Irene Leah Llc | |
|
2091 Klockner Rd Hamilton NJ 08690-3416 | |
| (609) 981-7160 | |
| Not Available |
| Full Name | Irene Leah Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2091 Klockner Rd, Hamilton, New Jersey |
| Authorized Official Name and Position | Irene Leah Cueto (PHYSICIAN) |
| Authorized Official Contact | 8565347951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Leah Llc 2091 Klockner Rd Hamilton NJ 08690-3416 Ph: (609) 981-7160 | Irene Leah Llc 2091 Klockner Rd Hamilton NJ 08690-3416 Ph: (609) 981-7160 |
| NPI Number | 1548951874 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Medicare PECOS PAC ID | 3476914268 |
|---|---|
| Medicare Enrollment ID | O20230726001521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548951874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Irene L Cueto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629001482 PECOS PAC ID: 0840511747 Enrollment ID: I20170123001404 |
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