| Medcare Wa | |
|
139 Grant Ave Eatontown NJ 07724-1306 | |
| (732) 299-3900 | |
| Not Available |
| Full Name | Medcare Wa |
|---|---|
| Speciality | Internal Medicine |
| Location | 139 Grant Ave, Eatontown, New Jersey |
| Authorized Official Name and Position | Walid Abboud (DOCTOR) |
| Authorized Official Contact | 7322993900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcare Wa 115 Sequoia Woods Ct Holmdel NJ 07733-2545 Ph: (732) 299-3900 | Medcare Wa 139 Grant Ave Eatontown NJ 07724-1306 Ph: (732) 299-3900 |
| NPI Number | 1609535665 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 12/16/2021 |
| Medicare PECOS PAC ID | 3678965613 |
|---|---|
| Medicare Enrollment ID | O20220125000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609535665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Walid A Abboud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245295559 PECOS PAC ID: 4981592359 Enrollment ID: I20200813000577 |
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