| |
1138 E Chestnut Ave Suite 8a Vineland NJ 08360-5053 | |
(856) 696-2232 | |
(856) 696-7850 |
Full Name | |
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Speciality | Family Medicine |
Location | 1138 E Chestnut Ave, Vineland, New Jersey |
Authorized Official Name and Position | Rekha Sehgal (OWNER) |
Authorized Official Contact | 8566962232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1385 Vineland NJ 08362-1385 Ph: (856) 696-2232 | 1138 E Chestnut Ave Suite 8a Vineland NJ 08360-5053 Ph: (856) 696-2232 |
NPI Number | 1720015159 |
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Provider Enumeration Date | 06/28/2006 |
Last Update Date | 02/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720015159 | NPI | - | NPPES |
1974700 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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