Preventive Healthcare Associates | |
102 James St Suite 202 Edison NJ 08820-3970 | |
(732) 548-5541 | |
(732) 548-2610 |
Full Name | Preventive Healthcare Associates |
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Speciality | Family Medicine |
Location | 102 James St, Edison, New Jersey |
Authorized Official Name and Position | Sandra Elber (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 7325485541 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Preventive Healthcare Associates 102 James St Suite 202 Edison NJ 08820-3970 Ph: (732) 548-5541 | Preventive Healthcare Associates 102 James St Suite 202 Edison NJ 08820-3970 Ph: (732) 548-5541 |
NPI Number | 1760497531 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 01/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760497531 | NPI | - | NPPES |
2661403 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MB0153600 (New Jersey) | Primary |
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