Tr Medical Group Llc | |
504 Hamburg Tpke Suite 202 Wayne NJ 07470-2034 | |
(973) 956-1459 | |
(973) 956-1473 |
Full Name | Tr Medical Group Llc |
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Speciality | Internal Medicine |
Location | 504 Hamburg Tpke, Wayne, New Jersey |
Authorized Official Name and Position | Tarek Refaie (OWNER/PHYSICIAN) |
Authorized Official Contact | 5512080331 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tr Medical Group Llc 504 Hamburg Tpke Suite 202 Wayne NJ 07470-2034 Ph: (973) 956-1459 | Tr Medical Group Llc 504 Hamburg Tpke Suite 202 Wayne NJ 07470-2034 Ph: (973) 956-1459 |
NPI Number | 1164743993 |
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Provider Enumeration Date | 06/16/2010 |
Last Update Date | 06/16/2010 |
Medicare PECOS PAC ID | 5799801601 |
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Medicare Enrollment ID | O20100929000085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164743993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA08496800 (New Jersey) | Primary |
Provider Name | Tarek Refaie |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1093917874 PECOS PAC ID: 0446303259 Enrollment ID: I20090727000501 |
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