| Mymd4me Llc | |
|
49 S State St Vineland NJ 08360-4818 | |
| (856) 696-3463 | |
| (856) 691-0440 |
| Full Name | Mymd4me Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 49 S State St, Vineland, New Jersey |
| Authorized Official Name and Position | Raghuraj S Tomar (OWNER) |
| Authorized Official Contact | 8564980845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mymd4me Llc 49 S State St Vineland NJ 08360-4818 Ph: (856) 696-3463 | Mymd4me Llc 49 S State St Vineland NJ 08360-4818 Ph: (856) 696-3463 |
| NPI Number | 1417339789 |
|---|---|
| Provider Enumeration Date | 06/23/2015 |
| Last Update Date | 09/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417339789 | NPI | - | NPPES |
| 0493881 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA05775600 (New Jersey) | Primary |
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