| New Medicine Pc | |
|
7600 N 16th St Suite 150 Phoenix AZ 85020-4431 | |
| (602) 395-0718 | |
| (602) 277-8146 |
| Full Name | New Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7600 N 16th St, Phoenix, Arizona |
| Authorized Official Name and Position | Bobbie Ronsman (OFFICE MANAGER) |
| Authorized Official Contact | 6023950718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Medicine Pc Po Box 39179 Phoenix AZ 85069-9179 Ph: (602) 395-0718 | New Medicine Pc 7600 N 16th St Suite 150 Phoenix AZ 85020-4431 Ph: (602) 395-0718 |
| NPI Number | 1811061914 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/16/2010 |
| Medicare PECOS PAC ID | 3678670668 |
|---|---|
| Medicare Enrollment ID | O20070529000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811061914 | NPI | - | NPPES |
| 32404 | Other | AZ | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 32404 (Arizona) | Primary |
| Provider Name | Monica M Banerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093782625 PECOS PAC ID: 2769474576 Enrollment ID: I20040401000448 |
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