Saint Barbara Medical Llc | |
1820 State Route 33 Ste 4-a Neptune NJ 07753-4860 | |
(732) 775-4138 | |
(732) 775-4158 |
Full Name | Saint Barbara Medical Llc |
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Speciality | Internal Medicine |
Location | 1820 State Route 33 Ste 4-a, Neptune, New Jersey |
Authorized Official Name and Position | Magdy L Shenouda (M.D.) |
Authorized Official Contact | 7327754138 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saint Barbara Medical Llc 1820 State Route 33 Ste 4-a Neptune NJ 07753-4860 Ph: (732) 775-4138 | Saint Barbara Medical Llc 1820 State Route 33 Ste 4-a Neptune NJ 07753-4860 Ph: (732) 775-4138 |
NPI Number | 1093916843 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9335156546 |
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Medicare Enrollment ID | O20060314000123 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093916843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA61123 (New Jersey) | Primary |
Provider Name | Magdy L Shenouda |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982684767 PECOS PAC ID: 7315995032 Enrollment ID: I20050110000809 |
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