| Mh & J Su, Llc | |
|
156 Rte 9 Englishtown NJ 07726-8231 | |
| (732) 851-7222 | |
| Not Available |
| Full Name | Mh & J Su, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 156 Rte 9, Englishtown, New Jersey |
| Authorized Official Name and Position | Melissa Su (OWNER) |
| Authorized Official Contact | 7328517222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mh & J Su, Llc 156 Rte 9 Englishtown NJ 07726-8231 Ph: (732) 851-7222 | Mh & J Su, Llc 156 Rte 9 Englishtown NJ 07726-8231 Ph: (732) 851-7222 |
| NPI Number | 1407169055 |
|---|---|
| Provider Enumeration Date | 07/23/2010 |
| Last Update Date | 07/23/2010 |
| Medicare PECOS PAC ID | 9234327669 |
|---|---|
| Medicare Enrollment ID | O20101229000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407169055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA53839 (New Jersey) | Primary |
| Provider Name | Melissa Su |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801834858 PECOS PAC ID: 9335184928 Enrollment ID: I20050623000835 |
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