| Union Medical Practice Pc | |
|
822 N Wood Ave 3rd Floor Suite 102 Linden NJ 07036-4000 | |
| (908) 925-9100 | |
| (908) 925-9102 |
| Full Name | Union Medical Practice Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 822 N Wood Ave, Linden, New Jersey |
| Authorized Official Name and Position | Fauzia M Ahmed (OWNER) |
| Authorized Official Contact | 9089259100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Medical Practice Pc 42 Flintlock Ct Basking Ridge NJ 07920-2108 Ph: (908) 766-0071 | Union Medical Practice Pc 822 N Wood Ave 3rd Floor Suite 102 Linden NJ 07036-4000 Ph: (908) 925-9100 |
| NPI Number | 1255796439 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 12/15/2015 |
| Medicare PECOS PAC ID | 4082910492 |
|---|---|
| Medicare Enrollment ID | O20160311000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255796439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07075900 (New Jersey) | Primary |
| Provider Name | Fauzia M Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730179953 PECOS PAC ID: 7618196825 Enrollment ID: I20140922000974 |
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