John S. Rajapakse, Md Pa | |
495 New Brunswick Ave Perth Amboy NJ 08861-3653 | |
(732) 442-4422 | |
(732) 442-3577 |
Full Name | John S. Rajapakse, Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 495 New Brunswick Ave, Perth Amboy, New Jersey |
Authorized Official Name and Position | John S Rajapakse (CEO) |
Authorized Official Contact | 7324424422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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John S. Rajapakse, Md Pa 495 New Brunswick Ave Perth Amboy NJ 08861-3653 Ph: (732) 442-4422 | John S. Rajapakse, Md Pa 495 New Brunswick Ave Perth Amboy NJ 08861-3653 Ph: (732) 442-4422 |
NPI Number | 1851676936 |
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Provider Enumeration Date | 10/20/2011 |
Last Update Date | 10/20/2011 |
Medicare PECOS PAC ID | 0749448264 |
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Medicare Enrollment ID | O20120229000698 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851676936 | NPI | - | NPPES |
0140449 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA0282773000 (New Jersey) | Primary |
Provider Name | John S Rajapakse |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639377914 PECOS PAC ID: 4284713595 Enrollment ID: I20080512000149 |
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