| Windsor Internal Medicine & Geriatrics | |
|
1330 Rev S Howard Woodson Jr Way Trenton NJ 08638-4018 | |
| (609) 396-4222 | |
| (609) 396-4378 |
| Full Name | Windsor Internal Medicine & Geriatrics |
|---|---|
| Speciality | Internal Medicine |
| Location | 1330 Rev S Howard Woodson Jr Way, Trenton, New Jersey |
| Authorized Official Name and Position | Anusuya Jeyakumar (PRESIDENT) |
| Authorized Official Contact | 6093964222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Windsor Internal Medicine & Geriatrics 1330 Calhoun Street Trenton NJ 08638 Ph: (609) 396-4222 | Windsor Internal Medicine & Geriatrics 1330 Rev S Howard Woodson Jr Way Trenton NJ 08638-4018 Ph: (609) 396-4222 |
| NPI Number | 1366511123 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 10/05/2012 |
| Medicare PECOS PAC ID | 9537152392 |
|---|---|
| Medicare Enrollment ID | O20040407000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366511123 | NPI | - | NPPES |
| 6897401 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 25MA06324400 (New Jersey) | Primary |
| Provider Name | Anusuya Jeyakumar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447453329 PECOS PAC ID: 7214833474 Enrollment ID: I20031209000487 |
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