Seretiscare Family Practice | |
499 Beckett Rd Suite 201b Logan Township NJ 08085-1766 | |
(856) 467-6400 | |
(856) 467-1033 |
Full Name | Seretiscare Family Practice |
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Speciality | Clinic/Center |
Location | 499 Beckett Rd, Logan Township, New Jersey |
Authorized Official Name and Position | George John Seretis (PRESIDENT) |
Authorized Official Contact | 8564676400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Seretiscare Family Practice 499 Beckett Rd Suite 201b Logan Township NJ 08085-1766 Ph: (856) 467-6400 | Seretiscare Family Practice 499 Beckett Rd Suite 201b Logan Township NJ 08085-1766 Ph: (856) 467-6400 |
NPI Number | 1487758165 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 07/08/2014 |
Medicare PECOS PAC ID | 8325045743 |
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Medicare Enrollment ID | O20061027000319 |
Identifier | Type | State | Issuer |
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1487758165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | MB 65801 (New Jersey) | Primary |
Provider Name | George John Seretis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144208968 PECOS PAC ID: 5698772028 Enrollment ID: I20061031000445 |
South Jersey Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 Beckett Rd, Logan Township, NJ 08085 Phone: 856-241-2090 Fax: 856-241-2099 | |
South Jersey Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 Beckett Rd, Suite 202, Logan Township, NJ 08085 Phone: 856-241-2090 Fax: 856-241-2099 |