| Sd Medical Corp | |
|
2 American Way Spotswood NJ 08884-1262 | |
| (732) 416-0065 | |
| Not Available |
| Full Name | Sd Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 American Way, Spotswood, New Jersey |
| Authorized Official Name and Position | Samir Patel (PARTNER) |
| Authorized Official Contact | 7325218071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sd Medical Corp 4 Dipierro Dr. Monroe Twp. NJ 08831 Ph: () - | Sd Medical Corp 2 American Way Spotswood NJ 08884-1262 Ph: (732) 416-0065 |
| NPI Number | 1295861466 |
|---|---|
| Provider Enumeration Date | 02/24/2007 |
| Last Update Date | 11/28/2012 |
| Medicare PECOS PAC ID | 6507889441 |
|---|---|
| Medicare Enrollment ID | O20060208000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295861466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Samir Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588659296 PECOS PAC ID: 8123015161 Enrollment ID: I20040429001390 |
| Provider Name | Deepa S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134225162 PECOS PAC ID: 5597788430 Enrollment ID: I20060208000130 |
| Provider Name | Irina Efraimovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124348354 PECOS PAC ID: 3173783669 Enrollment ID: I20120320000706 |
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