| |
58 N Main St Marlboro NJ 07746-1451 | |
(732) 719-2001 | |
(732) 719-2002 |
Full Name | |
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Speciality | Internal Medicine |
Location | 58 N Main St, Marlboro, New Jersey |
Authorized Official Name and Position | Mira Kaga (OWNER) |
Authorized Official Contact | 7327192001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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58 N Main St Marlboro NJ 07746-1451 Ph: (732) 719-2001 | 58 N Main St Marlboro NJ 07746-1451 Ph: (732) 719-2001 |
NPI Number | 1689197014 |
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Provider Enumeration Date | 07/18/2017 |
Last Update Date | 08/23/2023 |
Medicare PECOS PAC ID | 4789923830 |
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Medicare Enrollment ID | O20190307000167 |
Identifier | Type | State | Issuer |
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1689197014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mira K Kaga |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760707327 PECOS PAC ID: 6709013931 Enrollment ID: I20131216000766 |
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