| The Doctor's Office, Pc | |
|
1070 Route 34 Suite C Matawan NJ 07747-3469 | |
| (732) 290-0300 | |
| (732) 290-9661 |
| Full Name | The Doctor's Office, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1070 Route 34, Matawan, New Jersey |
| Authorized Official Name and Position | Shufang Feng (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7322900300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Doctor's Office, Pc 1070 Route 34 Suite C Matawan NJ 07747-3469 Ph: (732) 290-0300 | The Doctor's Office, Pc 1070 Route 34 Suite C Matawan NJ 07747-3469 Ph: (732) 290-0300 |
| NPI Number | 1881782829 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/08/2007 |
| Medicare PECOS PAC ID | 6608884150 |
|---|---|
| Medicare Enrollment ID | O20060327000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881782829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA64830 (New Jersey) | Primary |
| Provider Name | Vincent P Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245284074 PECOS PAC ID: 6305854076 Enrollment ID: I20060323000032 |
| Provider Name | Shufang Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285686667 PECOS PAC ID: 1153408521 Enrollment ID: I20100924000157 |
| Provider Name | Ayesha H Ould Hammou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093767295 PECOS PAC ID: 8820114788 Enrollment ID: I20100928001246 |
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