| Mbs Trinity Health, Llc | |
|
2 Hospital Plz Suite 470 Old Bridge NJ 08857-3012 | |
| (732) 638-4688 | |
| Not Available |
| Full Name | Mbs Trinity Health, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2 Hospital Plz, Old Bridge, New Jersey |
| Authorized Official Name and Position | Hawwa S. Frazier (OWNER/CEO) |
| Authorized Official Contact | 7326384688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mbs Trinity Health, Llc 140 Whitehead Ave Sayreville NJ 08872-1187 Ph: (732) 638-4688 | Mbs Trinity Health, Llc 2 Hospital Plz Suite 470 Old Bridge NJ 08857-3012 Ph: (732) 638-4688 |
| NPI Number | 1891133617 |
|---|---|
| Provider Enumeration Date | 06/14/2013 |
| Last Update Date | 09/16/2014 |
| Medicare PECOS PAC ID | 2163659640 |
|---|---|
| Medicare Enrollment ID | O20131206000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891133617 | NPI | - | NPPES |
| 316822 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB09310600 (New Jersey) | Primary |
| Provider Name | Hawwa S Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881889277 PECOS PAC ID: 7810154135 Enrollment ID: I20130813000174 |
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