| Precious Life Medical Services Llc | |
|
1030 Saint Georges Ave Ste 200a Avenel NJ 07001-1330 | |
| (732) 444-4646 | |
| Not Available |
| Full Name | Precious Life Medical Services Llc |
|---|---|
| Speciality | Radiology |
| Location | 1030 Saint Georges Ave Ste 200a, Avenel, New Jersey |
| Authorized Official Name and Position | Fardose Rana (OWNER) |
| Authorized Official Contact | 7324444646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Precious Life Medical Services Llc 1030 Saint Georges Ave Ste 200a Avenel NJ 07001-1330 Ph: (732) 444-4646 | Precious Life Medical Services Llc 1030 Saint Georges Ave Ste 200a Avenel NJ 07001-1330 Ph: (732) 444-4646 |
| NPI Number | 1760058853 |
|---|---|
| Provider Enumeration Date | 05/31/2021 |
| Last Update Date | 02/01/2023 |
| Certification Date | 10/27/2022 |
| Medicare PECOS PAC ID | 9830586841 |
|---|---|
| Medicare Enrollment ID | O20220421001170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760058853 | NPI | - | NPPES |
| 0886432 | Medicaid | NJ |
| Provider Name | Romolo Maurizi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437109030 PECOS PAC ID: 6709770431 Enrollment ID: I20040212000183 |
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