| Prime Health Of New Jersey Pc | |
|
441 Us Highway 130 East Windsor NJ 08520-2710 | |
| (609) 336-7518 | |
| (609) 336-7841 |
| Full Name | Prime Health Of New Jersey Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 441 Us Highway 130, East Windsor, New Jersey |
| Authorized Official Name and Position | Farhan Malik (SHAREHOLDER) |
| Authorized Official Contact | 7324064698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Health Of New Jersey Pc 4 Sienna Ct Hightstown NJ 08520-2100 Ph: (732) 406-4698 | Prime Health Of New Jersey Pc 441 Us Highway 130 East Windsor NJ 08520-2710 Ph: (609) 336-7518 |
| NPI Number | 1841933793 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Medicare PECOS PAC ID | 4082092721 |
|---|---|
| Medicare Enrollment ID | O20220608001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841933793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Farhan A Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437572468 PECOS PAC ID: 5294955290 Enrollment ID: I20140925000389 |
| Provider Name | Shoaib E Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427312677 PECOS PAC ID: 4284885518 Enrollment ID: I20170615001630 |
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