Petronilo L Seares Jr Md Llc | |
35 Beaverson Blvd Bldg 7 Suite B Brick Township NJ 08723-7860 | |
(732) 262-2400 | |
(732) 262-3883 |
Full Name | Petronilo L Seares Jr Md Llc |
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Speciality | Internal Medicine |
Location | 35 Beaverson Blvd Bldg 7 Suite B, Brick Township, New Jersey |
Authorized Official Name and Position | Petronilo L Seares (PRESIDENT) |
Authorized Official Contact | 7322622400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Petronilo L Seares Jr Md Llc 35 Beaverson Blvd Bldg 7 Suite B Brick Township NJ 08723-7860 Ph: (732) 262-2400 | Petronilo L Seares Jr Md Llc 35 Beaverson Blvd Bldg 7 Suite B Brick Township NJ 08723-7860 Ph: (732) 262-2400 |
NPI Number | 1750545695 |
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Provider Enumeration Date | 07/10/2008 |
Last Update Date | 07/11/2008 |
Medicare PECOS PAC ID | 7810064938 |
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Medicare Enrollment ID | O20080916000021 |
Identifier | Type | State | Issuer |
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1750545695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Petronilo L Seares |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831135110 PECOS PAC ID: 7810931128 Enrollment ID: I20050617000224 |
Provider Name | Jessica B. Seares |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053587998 PECOS PAC ID: 0446446090 Enrollment ID: I20101123000045 |