Monmouth Physician Services Llc | |
3 Exeter Way Holmdel NJ 07733-2294 | |
(732) 429-7429 | |
Not Available |
Full Name | Monmouth Physician Services Llc |
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Speciality | Internal Medicine |
Location | 3 Exeter Way, Holmdel, New Jersey |
Authorized Official Name and Position | Punit Jariwala (OWNER) |
Authorized Official Contact | 7324297429 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Monmouth Physician Services Llc 3 Exeter Way Holmdel NJ 07733-2294 Ph: (732) 429-7429 | Monmouth Physician Services Llc 3 Exeter Way Holmdel NJ 07733-2294 Ph: (732) 429-7429 |
NPI Number | 1457901001 |
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Provider Enumeration Date | 09/16/2019 |
Last Update Date | 09/16/2019 |
Medicare PECOS PAC ID | 8426480914 |
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Medicare Enrollment ID | O20191121002693 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457901001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Punit R Jariwala |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386060507 PECOS PAC ID: 1951520378 Enrollment ID: I20140917002328 |
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