| Physician Management Services Of New Jersey, Llc | |
|
170 Changebridge Rd Bldg C3 Montville NJ 07045-9112 | |
| (888) 829-8550 | |
| Not Available |
| Full Name | Physician Management Services Of New Jersey, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 170 Changebridge Rd Bldg C3, Montville, New Jersey |
| Authorized Official Name and Position | Casey Deloach (MANAGER) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Management Services Of New Jersey, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: (888) 829-8550 | Physician Management Services Of New Jersey, Llc 170 Changebridge Rd Bldg C3 Montville NJ 07045-9112 Ph: (888) 829-8550 |
| NPI Number | 1629348503 |
|---|---|
| Provider Enumeration Date | 01/09/2012 |
| Last Update Date | 10/13/2020 |
| Medicare PECOS PAC ID | 0244650034 |
|---|---|
| Medicare Enrollment ID | O20201016000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629348503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Arnold I Pallay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538105960 PECOS PAC ID: 1355376682 Enrollment ID: I20051005000986 |
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