| Pennsalem Medical Center, Inc. | |
|
244 N Broadway Pennsville NJ 08070-1228 | |
| (856) 678-9200 | |
| (856) 678-8400 |
| Full Name | Pennsalem Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 244 N Broadway, Pennsville, New Jersey |
| Authorized Official Name and Position | Uday S Uthaman (PRESIDENT) |
| Authorized Official Contact | 8566789200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsalem Medical Center, Inc. 244 N Broadway P O Box248 Pennsville NJ 08070-1228 Ph: (856) 678-9200 | Pennsalem Medical Center, Inc. 244 N Broadway Pennsville NJ 08070-1228 Ph: (856) 678-9200 |
| NPI Number | 1548454903 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 08/29/2007 |
| Medicare PECOS PAC ID | 3375682933 |
|---|---|
| Medicare Enrollment ID | O20091120000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548454903 | NPI | - | NPPES |
| 6361609 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA05838200 (New Jersey) | Primary |
| Provider Name | Thomas M Berge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881815694 PECOS PAC ID: 5395817886 Enrollment ID: I20080627000231 |
| Provider Name | Uday S Uthaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871661041 PECOS PAC ID: 2466591011 Enrollment ID: I20091120000376 |
Mitchell Bober, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Broadway, Pennsville, NJ 08070 Phone: 856-678-9002 Fax: 856-678-4027 | |
Internal Medicne Of South Jersey Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Broadway, Suite B, Pennsville, NJ 08070 Phone: 856-678-9900 Fax: 856-678-9901 | |
Cooper Primary Care At Pennsville, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 390 North Broad Street, Concord Professional Building, Ste 100, Pennsville, NJ 08070 Phone: 856-678-6411 Fax: 856-678-7509 |