| Optimum Health Care, Llc | |
|
2040 Millburn Ave Suite 401 Maplewood NJ 07040-3726 | |
| (973) 378-2266 | |
| Not Available |
| Full Name | Optimum Health Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2040 Millburn Ave, Maplewood, New Jersey |
| Authorized Official Name and Position | Jenny Drice (PRESIDENT) |
| Authorized Official Contact | 9733782266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Health Care, Llc 2040 Millburn Ave Suite 401 Maplewood NJ 07040-3726 Ph: (973) 378-2266 | Optimum Health Care, Llc 2040 Millburn Ave Suite 401 Maplewood NJ 07040-3726 Ph: (973) 378-2266 |
| NPI Number | 1508970864 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508970864 | NPI | - | NPPES |
| MA057613 | Other | NJ | MEDICAL LICENSE |
| 6659403 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA057613 (New Jersey) | Primary |
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