| St Luke Medical Services Inc | |
|
20 Hospital Dr Ste 18 Toms River NJ 08755-6434 | |
| (732) 569-6166 | |
| (419) 273-0649 |
| Full Name | St Luke Medical Services Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 Hospital Dr Ste 18, Toms River, New Jersey |
| Authorized Official Name and Position | Marina Elsabaawy (OWNER) |
| Authorized Official Contact | 7325696166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Luke Medical Services Inc 20 Hospital Dr Ste 18 Toms River NJ 08755-6434 Ph: (732) 569-6166 | St Luke Medical Services Inc 20 Hospital Dr Ste 18 Toms River NJ 08755-6434 Ph: (732) 569-6166 |
| NPI Number | 1083468110 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 06/06/2024 |
| Medicare PECOS PAC ID | 0840733267 |
|---|---|
| Medicare Enrollment ID | O20240613002988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083468110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marina Elsabaawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043894306 PECOS PAC ID: 2668915083 Enrollment ID: I20240613003123 |
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