| Thomas J Cassidy Md Llc | |
|
3910 Park Ave Ste 8 Edison NJ 08820-3062 | |
| (732) 767-3130 | |
| (732) 767-3134 |
| Full Name | Thomas J Cassidy Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3910 Park Ave Ste 8, Edison, New Jersey |
| Authorized Official Name and Position | Ann Marie Ferrante (PRACTICE ADMIN) |
| Authorized Official Contact | 7327673130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Cassidy Md Llc 3910 Park Ave Ste 8 Edison NJ 08820-3062 Ph: (732) 767-3130 | Thomas J Cassidy Md Llc 3910 Park Ave Ste 8 Edison NJ 08820-3062 Ph: (732) 767-3130 |
| NPI Number | 1811486368 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 05/09/2018 |
| Medicare PECOS PAC ID | 1052676152 |
|---|---|
| Medicare Enrollment ID | O20180518002386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811486368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas J Cassidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174612295 PECOS PAC ID: 6305943945 Enrollment ID: I20070517000046 |
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