Village Medical Associates | |
1 Dag Hammarskjold Blvd Ste 3 Freehold NJ 07728-5221 | |
(732) 761-1788 | |
(732) 761-1323 |
Full Name | Village Medical Associates |
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Speciality | Internal Medicine |
Location | 1 Dag Hammarskjold Blvd, Freehold, New Jersey |
Authorized Official Name and Position | Alexander Petcu (OWNER) |
Authorized Official Contact | 7327611788 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Village Medical Associates 1 Dag Hammarskjold Blvd Ste 3 Freehold NJ 07728-5221 Ph: (732) 761-1788 | Village Medical Associates 1 Dag Hammarskjold Blvd Ste 3 Freehold NJ 07728-5221 Ph: (732) 761-1788 |
NPI Number | 1982758322 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9638356785 |
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Medicare Enrollment ID | O20110527000179 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982758322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Alexander Petcu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184683146 PECOS PAC ID: 1759568801 Enrollment ID: I20110527000142 |
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