Ram V.rayasam.m.d.p.a | |
207 S 2nd St Morrispark Phillipsburg NJ 08865-1807 | |
(908) 454-2279 | |
(908) 454-5404 |
Full Name | Ram V.rayasam.m.d.p.a |
---|---|
Speciality | Clinic/Center |
Location | 207 S 2nd St, Phillipsburg, New Jersey |
Authorized Official Name and Position | Ramakumar Venkata Rayasam (PRESIDENT) |
Authorized Official Contact | 9084542279 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ram V.rayasam.m.d.p.a 207 S 2nd St Morrispark Phillipsburg NJ 08865-1807 Ph: (908) 454-2279 | Ram V.rayasam.m.d.p.a 207 S 2nd St Morrispark Phillipsburg NJ 08865-1807 Ph: (908) 454-2279 |
NPI Number | 1295724938 |
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Provider Enumeration Date | 10/16/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9133259724 |
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Medicare Enrollment ID | O20100608000567 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295724938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MA38051 (New Jersey) | Primary |
Provider Name | Ramakumar Venkata Rayasam |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1922097666 PECOS PAC ID: 0648300244 Enrollment ID: I20100608000666 |
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