| Matthew Henriques, | |
|
11 Meridian Rd, Eatontown, NJ 07724-2242 | |
| (732) 663-0300 | |
| (732) 663-0301 |
| Full Name | Matthew Henriques |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Clinical Cardiac Electrophysiology |
| Location | 11 Meridian Rd, Eatontown, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023515343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | 25MA13145300 (New Jersey) | Primary |
| 207R00000X | Internal Medicine | 309615 (New York) | Secondary |
| Entity Name | Southwest Suffolk Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104096049 PECOS PAC ID: 0244396349 Enrollment ID: O20090225000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Henriques, 11 Meridian Rd, Eatontown, NJ 07724-2242 Ph: (732) 663-0300 | Matthew Henriques, 11 Meridian Rd, Eatontown, NJ 07724-2242 Ph: (732) 663-0300 |
Violet Elizabeth Kramer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Corbett Way, Eatontown, NJ 07724 Phone: 732-380-0020 | |
Dr. Mariam Gamal Wassef, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 274 Route 35, Eatontown, NJ 07724 Phone: 732-440-7336 Fax: 732-440-9404 | |
Vivian Onuro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Wyckoff Rd Ste 301, Eatontown, NJ 07724 Phone: 848-208-5250 Fax: 609-991-6226 | |
Dr. Isaac Tawfik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 274 Highway 35, Eatontown, NJ 07724 Phone: 732-440-7336 | |
Hank Ashforth, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Wyckoff Rd Ste 301, Eatontown, NJ 07724 Phone: 848-208-5250 | |
Dr. Bharath Sathya, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 Meridian Rd, Eatontown, NJ 07724 Phone: 732-663-0300 Fax: 732-663-0301 |