Thanaa Nelly Khalil Abraham Pc | |
882 H Commons Way Toms River NJ 08755-6430 | |
(732) 818-0808 | |
Not Available |
Full Name | Thanaa Nelly Khalil Abraham Pc |
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Speciality | Internal Medicine |
Location | 882 H Commons Way, Toms River, New Jersey |
Authorized Official Name and Position | Thanaa Nelly K Abraham (OWNER) |
Authorized Official Contact | 7328180808 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thanaa Nelly Khalil Abraham Pc 882 H Commons Way Toms River NJ 08755-6430 Ph: (732) 818-0808 | Thanaa Nelly Khalil Abraham Pc 882 H Commons Way Toms River NJ 08755-6430 Ph: (732) 818-0808 |
NPI Number | 1265471999 |
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Provider Enumeration Date | 06/06/2006 |
Last Update Date | 05/18/2011 |
Medicare PECOS PAC ID | 0840242053 |
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Medicare Enrollment ID | O20050216000386 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265471999 | NPI | - | NPPES |
8678201 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA07219300 (New Jersey) | Primary |
Provider Name | Thanaa Nelly Khalil Abraham |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568442424 PECOS PAC ID: 8820040041 Enrollment ID: I20050216000555 |
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