| Premier Gastroenterology Of Hamilton | |
|
2271 Route 33 Ste 110 Hamilton NJ 08690-1749 | |
| (609) 477-3003 | |
| Not Available |
| Full Name | Premier Gastroenterology Of Hamilton |
|---|---|
| Speciality | Internal Medicine |
| Location | 2271 Route 33 Ste 110, Hamilton, New Jersey |
| Authorized Official Name and Position | Shivaprasad Marulendra (PRESIDENT) |
| Authorized Official Contact | 6094773003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Gastroenterology Of Hamilton 27 Tara Way Pennington NJ 08534-2100 Ph: (609) 477-3003 | Premier Gastroenterology Of Hamilton 2271 Route 33 Ste 110 Hamilton NJ 08690-1749 Ph: (609) 477-3003 |
| NPI Number | 1386111524 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 10/25/2018 |
| Medicare PECOS PAC ID | 5991042277 |
|---|---|
| Medicare Enrollment ID | O20190124000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386111524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Shivaprasad Marulendra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205810926 PECOS PAC ID: 1759326382 Enrollment ID: I20050624000055 |
| Provider Name | Punitha Shivaprasad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609111699 PECOS PAC ID: 4385863505 Enrollment ID: I20150804005500 |
| Provider Name | Joshua A Weston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487040432 PECOS PAC ID: 3577867829 Enrollment ID: I20210520002406 |
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