| N.d. Shariati M.d. Pc | |
|
2345 Lamington Rd Ste 103 Bedminster NJ 07921-2612 | |
| (908) 234-2295 | |
| (908) 234-0579 |
| Full Name | N.d. Shariati M.d. Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2345 Lamington Rd Ste 103, Bedminster, New Jersey |
| Authorized Official Name and Position | Nasseredin Shariati (OWNER/OFFICER) |
| Authorized Official Contact | 9082342295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| N.d. Shariati M.d. Pc 2345 Lamington Rd Ste 103 Bedminster NJ 07921-2612 Ph: (908) 234-2295 | N.d. Shariati M.d. Pc 2345 Lamington Rd Ste 103 Bedminster NJ 07921-2612 Ph: (908) 234-2295 |
| NPI Number | 1245590512 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Medicare PECOS PAC ID | 7012170020 |
|---|---|
| Medicare Enrollment ID | O20120531000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245590512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Nasseredin Shariati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861486623 PECOS PAC ID: 4688834807 Enrollment ID: I20120327000083 |
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