| Rasik M. Jivani Md Pa | |
|
611 Route 539 Cream Ridge NJ 08514-2334 | |
| (609) 758-3200 | |
| Not Available |
| Full Name | Rasik M. Jivani Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 611 Route 539, Cream Ridge, New Jersey |
| Authorized Official Name and Position | Rasik M. Jivani (PRESIDENT) |
| Authorized Official Contact | 6097583200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rasik M. Jivani Md Pa 611 Route 539 Cream Ridge NJ 08514-2334 Ph: () - | Rasik M. Jivani Md Pa 611 Route 539 Cream Ridge NJ 08514-2334 Ph: (609) 758-3200 |
| NPI Number | 1801051818 |
|---|---|
| Provider Enumeration Date | 07/20/2008 |
| Last Update Date | 07/20/2008 |
| Medicare PECOS PAC ID | 4183753395 |
|---|---|
| Medicare Enrollment ID | O20100526001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801051818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA55789 (New Jersey) | Primary |
| Provider Name | Rasik M Jivani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265476576 PECOS PAC ID: 3577508472 Enrollment ID: I20050622000108 |
Allentown Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 163 Burlington Path Rd, Cream Ridge Professional Center Unit L, Cream Ridge, NJ 08514 Phone: 609-758-1100 Fax: 609-758-3188 |