P & C Medical Group, Llc | |
534 Westfield Ave Fl 2 Elizabeth NJ 07208-1623 | |
(908) 659-0075 | |
(908) 459-4300 |
Full Name | P & C Medical Group, Llc |
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Speciality | Family Medicine |
Location | 534 Westfield Ave Fl 2, Elizabeth, New Jersey |
Authorized Official Name and Position | Maria D Cisnero (OWNER/PHYSICIAN) |
Authorized Official Contact | 9086590075 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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P & C Medical Group, Llc 530 Westfield Ave Fl 2 Elizabeth NJ 07208-1623 Ph: (908) 659-0075 | P & C Medical Group, Llc 534 Westfield Ave Fl 2 Elizabeth NJ 07208-1623 Ph: (908) 659-0075 |
NPI Number | 1760785398 |
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Provider Enumeration Date | 12/21/2010 |
Last Update Date | 04/14/2021 |
Medicare PECOS PAC ID | 0143403469 |
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Medicare Enrollment ID | O20110324000259 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760785398 | NPI | - | NPPES |
0253669 | Medicaid | NJ |
Provider Name | Raul I Perez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003081076 PECOS PAC ID: 7719166396 Enrollment ID: I20110128000158 |
Provider Name | Maria Cisnero |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366617334 PECOS PAC ID: 4789867003 Enrollment ID: I20110324000336 |
Provider Name | Carlos R Perez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942791728 PECOS PAC ID: 6507049822 Enrollment ID: I20210504000096 |
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