Sparkle Medical Pa | |
1550 Park Avenue Suit 104 South Plainfield NJ 07080 | |
(908) 548-8355 | |
(908) 548-8359 |
Full Name | Sparkle Medical Pa |
---|---|
Speciality | Internal Medicine |
Location | 1550 Park Avenue, South Plainfield, New Jersey |
Authorized Official Name and Position | Seema S Rao (OWNER) |
Authorized Official Contact | 9085488355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sparkle Medical Pa 1550 Park Ave Suite 104 So. Plainfield NJ 07080 Ph: (908) 548-8355 | Sparkle Medical Pa 1550 Park Avenue Suit 104 South Plainfield NJ 07080 Ph: (908) 548-8355 |
NPI Number | 1356580468 |
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Provider Enumeration Date | 02/12/2009 |
Last Update Date | 04/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356580468 | NPI | - | NPPES |
0220868 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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