Premier Medical Care Llc | |
676 Route 202/206 Bridgewater NJ 08807-1761 | |
(908) 927-0900 | |
(908) 927-1133 |
Full Name | Premier Medical Care Llc |
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Speciality | Internal Medicine |
Location | 676 Route 202/206, Bridgewater, New Jersey |
Authorized Official Name and Position | Sangeetha Reddy (PHYSICIAN) |
Authorized Official Contact | 9089270900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Medical Care Llc 676 Route 202/206 Bridgewater NJ 08807-1761 Ph: (908) 927-0900 | Premier Medical Care Llc 676 Route 202/206 Bridgewater NJ 08807-1761 Ph: (908) 927-0900 |
NPI Number | 1477735462 |
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Provider Enumeration Date | 11/30/2007 |
Last Update Date | 05/24/2017 |
Medicare PECOS PAC ID | 6709825821 |
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Medicare Enrollment ID | O20050428000403 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477735462 | NPI | - | NPPES |
0055751 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA07373200 (New Jersey) | Primary |
Provider Name | Sangeetha S Reddy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811956097 PECOS PAC ID: 6901892181 Enrollment ID: I20040422001211 |
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