Pediatric Pulmonary & Asthma Institute,pc | |
56 Union Ave Suite 3 Somerville NJ 08876-2017 | |
(908) 526-5212 | |
Not Available |
Full Name | Pediatric Pulmonary & Asthma Institute,pc |
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Speciality | Clinic/Center |
Location | 56 Union Ave, Somerville, New Jersey |
Authorized Official Name and Position | Nelson L. Turcios (PRESIDENT) |
Authorized Official Contact | 9085265212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pediatric Pulmonary & Asthma Institute,pc 56 Union Ave Suite 3 Somerville NJ 08876-2017 Ph: (908) 526-5212 | Pediatric Pulmonary & Asthma Institute,pc 56 Union Ave Suite 3 Somerville NJ 08876-2017 Ph: (908) 526-5212 |
NPI Number | 1285754143 |
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Provider Enumeration Date | 04/01/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4486745759 |
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Medicare Enrollment ID | O20070801000539 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285754143 | NPI | - | NPPES |
4004001 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 25MA04435400 (New Jersey) | Primary |
Provider Name | Nelson L Turcios |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1407914633 PECOS PAC ID: 3971609967 Enrollment ID: I20070508000638 |
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