| Physicians Health Alliance Pa | |
|
1777 Hamburg Tpke Wayne NJ 07470-5211 | |
| (973) 835-6300 | |
| (973) 835-3761 |
| Full Name | Physicians Health Alliance Pa |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1777 Hamburg Tpke, Wayne, New Jersey |
| Authorized Official Name and Position | Michael R. Dara (SECRETARY/TREASURER) |
| Authorized Official Contact | 9738356300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Health Alliance Pa 1777 Hamburg Tpke Suite 102 Wayne NJ 07470-5211 Ph: (973) 831-7455 | Physicians Health Alliance Pa 1777 Hamburg Tpke Wayne NJ 07470-5211 Ph: (973) 835-6300 |
| NPI Number | 1528047842 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 01/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528047842 | NPI | - | NPPES |
| 7726805 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
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