| Premier Primary Care And Wellness | |
|
3 Hospital Plz Ste 203 Old Bridge NJ 08857-3084 | |
| (732) 823-2221 | |
| (609) 619-4813 |
| Full Name | Premier Primary Care And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 3 Hospital Plz Ste 203, Old Bridge, New Jersey |
| Authorized Official Name and Position | Sameer B Shetty (PHYSICIAN) |
| Authorized Official Contact | 7328232221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Primary Care And Wellness 3 Hospital Plz Ste 203 Old Bridge NJ 08857-3084 Ph: (732) 823-2221 | Premier Primary Care And Wellness 3 Hospital Plz Ste 203 Old Bridge NJ 08857-3084 Ph: (732) 823-2221 |
| NPI Number | 1750627907 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 09/07/2020 |
| Medicare PECOS PAC ID | 2769787191 |
|---|---|
| Medicare Enrollment ID | O20160223002497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750627907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA08756300 (New Jersey) | Primary |
| Provider Name | Sameer B Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891988226 PECOS PAC ID: 3870680085 Enrollment ID: I20110113000137 |
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