Olga M Maimon Md Pc | |
758 Route 18 Ste 103a East Brunswick NJ 08816-4923 | |
(732) 360-0117 | |
(732) 360-0033 |
Full Name | Olga M Maimon Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 758 Route 18 Ste 103a, East Brunswick, New Jersey |
Authorized Official Name and Position | Olga M Maimon (OWNER) |
Authorized Official Contact | 7323600117 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Olga M Maimon Md Pc 3 Hospital Plz Ste 405 Old Bridge NJ 08857-3093 Ph: (732) 360-0117 | Olga M Maimon Md Pc 758 Route 18 Ste 103a East Brunswick NJ 08816-4923 Ph: (732) 360-0117 |
NPI Number | 1912954132 |
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Provider Enumeration Date | 05/31/2006 |
Last Update Date | 02/20/2023 |
Medicare PECOS PAC ID | 7113956350 |
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Medicare Enrollment ID | O20050809000200 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912954132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 25MA07825200 (New Jersey) | Primary |
Provider Name | Olga Maimon |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1073598850 PECOS PAC ID: 3678535002 Enrollment ID: I20050809000242 |
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