| Tusharkumar N Mistry Md Llc | |
|
8 County Road 520 Ste A Englishtown NJ 07726-8478 | |
| (732) 679-4200 | |
| (732) 851-4632 |
| Full Name | Tusharkumar N Mistry Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8 County Road 520 Ste A, Englishtown, New Jersey |
| Authorized Official Name and Position | Tusharkumar N Mistry (OWNER) |
| Authorized Official Contact | 7326794200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tusharkumar N Mistry Md Llc 28 Throckmorton Ln Old Bridge NJ 08857-2558 Ph: (732) 679-4200 | Tusharkumar N Mistry Md Llc 8 County Road 520 Ste A Englishtown NJ 07726-8478 Ph: (732) 679-4200 |
| NPI Number | 1114106176 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/04/2023 |
| Medicare PECOS PAC ID | 3375552664 |
|---|---|
| Medicare Enrollment ID | O20060414000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114106176 | NPI | - | NPPES |
| 0075850 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07930800 (New Jersey) | Primary |
| Provider Name | Tusharkumar N Mistry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053302976 PECOS PAC ID: 2365474616 Enrollment ID: I20050908000956 |
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