Primary Care Affiliates Of Nj, Pa | |
227 E Somerdale Rd Somerdale NJ 08083-1105 | |
(856) 784-2626 | |
(856) 784-0375 |
Full Name | Primary Care Affiliates Of Nj, Pa |
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Speciality | Internal Medicine |
Location | 227 E Somerdale Rd, Somerdale, New Jersey |
Authorized Official Name and Position | Jayesh Patel (VICE PRESIDENT) |
Authorized Official Contact | 8567842626 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Affiliates Of Nj, Pa Po Box 40 Somerdale NJ 08083-0040 Ph: (856) 784-2626 | Primary Care Affiliates Of Nj, Pa 227 E Somerdale Rd Somerdale NJ 08083-1105 Ph: (856) 784-2626 |
NPI Number | 1639260896 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 07/31/2007 |
Medicare PECOS PAC ID | 2860396074 |
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Medicare Enrollment ID | O20031120000399 |
Identifier | Type | State | Issuer |
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1639260896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MA71893 (New Jersey) | Primary |
Provider Name | Jayesh Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932203171 PECOS PAC ID: 0840194064 Enrollment ID: I20110411000294 |
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