Poonam Soni Md Pc | |
697 Mill Creek Rd Unit #1 Manahawkin NJ 08050-3361 | |
(609) 597-5699 | |
(609) 597-5722 |
Full Name | Poonam Soni Md Pc |
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Speciality | Internal Medicine |
Location | 697 Mill Creek Rd, Manahawkin, New Jersey |
Authorized Official Name and Position | Poonam Soni (OWNER) |
Authorized Official Contact | 6095975699 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Poonam Soni Md Pc 697 Mill Creek Rd Unit #1 Manahawkin NJ 08050-3361 Ph: (609) 597-5699 | Poonam Soni Md Pc 697 Mill Creek Rd Unit #1 Manahawkin NJ 08050-3361 Ph: (609) 597-5699 |
NPI Number | 1083835706 |
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Provider Enumeration Date | 05/01/2007 |
Last Update Date | 10/02/2008 |
Medicare PECOS PAC ID | 9335235399 |
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Medicare Enrollment ID | O20071022000762 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083835706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA07986500 (New Jersey) | Primary |
Provider Name | Shikhar Soni |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730128968 PECOS PAC ID: 6002899309 Enrollment ID: I20040609000064 |
Provider Name | Poonam Soni |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598850760 PECOS PAC ID: 3870512767 Enrollment ID: I20071022000754 |
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