Wignarajan Medical Associates Llc | |
875 Kennedy Blvd Bayonne NJ 07002-2826 | |
(201) 339-1035 | |
(201) 858-3350 |
Full Name | Wignarajan Medical Associates Llc |
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Speciality | Internal Medicine |
Location | 875 Kennedy Blvd, Bayonne, New Jersey |
Authorized Official Name and Position | Nadika Wignarajan (MEMBER) |
Authorized Official Contact | 2013391035 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wignarajan Medical Associates Llc 875 Kennedy Blvd Bayonne NJ 07002-2826 Ph: (201) 339-1035 | Wignarajan Medical Associates Llc 875 Kennedy Blvd Bayonne NJ 07002-2826 Ph: (201) 339-1035 |
NPI Number | 1205274933 |
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Provider Enumeration Date | 06/04/2013 |
Last Update Date | 06/04/2013 |
Medicare PECOS PAC ID | 3678717345 |
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Medicare Enrollment ID | O20130919000075 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205274933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Kanagarayer R Wignarajan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891856027 PECOS PAC ID: 9335154996 Enrollment ID: I20060217000614 |
Provider Name | Nadika Visanthri Wignarajan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386877819 PECOS PAC ID: 3577603679 Enrollment ID: I20091222000207 |
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