Tovba Care Medical Pc | |
5 Wiltshire Dr Manalapan NJ 07726-3570 | |
(917) 617-9176 | |
Not Available |
Full Name | Tovba Care Medical Pc |
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Speciality | Internal Medicine |
Location | 5 Wiltshire Dr, Manalapan, New Jersey |
Authorized Official Name and Position | Eduard Fuzaylov (OWNER) |
Authorized Official Contact | 9176179176 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tovba Care Medical Pc 5 Wiltshire Dr Manalapan NJ 07726-3570 Ph: (917) 617-9176 | Tovba Care Medical Pc 5 Wiltshire Dr Manalapan NJ 07726-3570 Ph: (917) 617-9176 |
NPI Number | 1821310483 |
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Provider Enumeration Date | 02/24/2010 |
Last Update Date | 02/24/2010 |
Medicare PECOS PAC ID | 5890826788 |
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Medicare Enrollment ID | O20100621000474 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821310483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Eduard Fuzaylov |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891974507 PECOS PAC ID: 2062592272 Enrollment ID: I20091208000055 |
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