| Sumitra Agarwal Md Llc | |
|
24 Paris Ave Edison NJ 08820-3851 | |
| (732) 207-1402 | |
| Not Available |
| Full Name | Sumitra Agarwal Md Llc |
|---|---|
| Speciality | General Practice |
| Location | 24 Paris Ave, Edison, New Jersey |
| Authorized Official Name and Position | Sumitra Agarwal (OWNER) |
| Authorized Official Contact | 7322071402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumitra Agarwal Md Llc 24 Paris Ave Edison NJ 08820-3851 Ph: (732) 207-1402 | Sumitra Agarwal Md Llc 24 Paris Ave Edison NJ 08820-3851 Ph: (732) 207-1402 |
| NPI Number | 1023395266 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 11/15/2011 |
| Medicare PECOS PAC ID | 1658547559 |
|---|---|
| Medicare Enrollment ID | O20111227000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023395266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Sumitra Agarwal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972673812 PECOS PAC ID: 3173525771 Enrollment ID: I20111227000288 |
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