| Vistas Physician Services, Llc | |
|
2131 Route 33 Hamilton NJ 08690-1740 | |
| (708) 435-1404 | |
| Not Available |
| Full Name | Vistas Physician Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2131 Route 33, Hamilton, New Jersey |
| Authorized Official Name and Position | Matthew Oyeyemi Adasofunjo (PHYSICIAN/MEDICAL DIRECTOR) |
| Authorized Official Contact | 7084351404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vistas Physician Services, Llc 2131 Route 33 Hamilton NJ 08690-1740 Ph: () - | Vistas Physician Services, Llc 2131 Route 33 Hamilton NJ 08690-1740 Ph: (708) 435-1404 |
| NPI Number | 1982361432 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 06/03/2024 |
| Medicare PECOS PAC ID | 3577954601 |
|---|---|
| Medicare Enrollment ID | O20211229000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982361432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew Adasofunjo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538481197 PECOS PAC ID: 8325297195 Enrollment ID: I20211229000557 |
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