Malek Medical Pc | |
232 Norwood Ave W Long Branch NJ 07764-1859 | |
(732) 222-6637 | |
Not Available |
Full Name | Malek Medical Pc |
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Speciality | Internal Medicine |
Location | 232 Norwood Ave, W Long Branch, New Jersey |
Authorized Official Name and Position | Sherif Malek (OWNER) |
Authorized Official Contact | 7322226637 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Malek Medical Pc 232 Norwood Ave W Long Branch NJ 07764-1859 Ph: (732) 222-6637 | Malek Medical Pc 232 Norwood Ave W Long Branch NJ 07764-1859 Ph: (732) 222-6637 |
NPI Number | 1205873601 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 03/17/2008 |
Medicare PECOS PAC ID | 6103858824 |
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Medicare Enrollment ID | O20050914000767 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205873601 | NPI | - | NPPES |
9073108 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sherif Malek |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699716175 PECOS PAC ID: 6901842400 Enrollment ID: I20050801000982 |
Provider Name | Elena Leontieva |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770883266 PECOS PAC ID: 7113177130 Enrollment ID: I20121026000531 |
Provider Name | Jessica A Powers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417316241 PECOS PAC ID: 7113217555 Enrollment ID: I20160526000755 |
Provider Name | Nicole B Simonson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295361616 PECOS PAC ID: 3173953155 Enrollment ID: I20200414002855 |
Charles L. Spellman, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 842 Broadway, W Long Branch, NJ 07764 Phone: 732-269-2684 Fax: 732-269-3963 |