| Mid Atlantic Diabetes And Endocrinology Associates, Llc | |
|
555 Iron Bridge Rd Ste 18 Freehold NJ 07728-2975 | |
| (732) 409-6233 | |
| Not Available |
| Full Name | Mid Atlantic Diabetes And Endocrinology Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 555 Iron Bridge Rd Ste 18, Freehold, New Jersey |
| Authorized Official Name and Position | Melissa Young (OWNER) |
| Authorized Official Contact | 7326852747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Atlantic Diabetes And Endocrinology Associates, Llc 555 Iron Bridge Rd Ste 18 Freehold NJ 07728-2975 Ph: (732) 409-6233 | Mid Atlantic Diabetes And Endocrinology Associates, Llc 555 Iron Bridge Rd Ste 18 Freehold NJ 07728-2975 Ph: (732) 409-6233 |
| NPI Number | 1437392198 |
|---|---|
| Provider Enumeration Date | 04/10/2009 |
| Last Update Date | 07/10/2009 |
| Medicare PECOS PAC ID | 3375689342 |
|---|---|
| Medicare Enrollment ID | O20091005000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437392198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MA72694 (New Jersey) | Primary |
| Provider Name | Melissa G Young |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831174739 PECOS PAC ID: 0547287872 Enrollment ID: I20051026000912 |
| Provider Name | Saima O Farghani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982922183 PECOS PAC ID: 7416141601 Enrollment ID: I20101102000195 |
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