| Advanced Medical Of Central Jersey,llc | |
|
2253 South Ave Suite 3 Scotch Plains NJ 07076-4688 | |
| (908) 654-1500 | |
| Not Available |
| Full Name | Advanced Medical Of Central Jersey,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2253 South Ave, Scotch Plains, New Jersey |
| Authorized Official Name and Position | Edred V Shen (OWNER) |
| Authorized Official Contact | 9086541500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Of Central Jersey,llc 2253 South Ave Suite 3 Scotch Plains NJ 07076-4688 Ph: (908) 654-1500 | Advanced Medical Of Central Jersey,llc 2253 South Ave Suite 3 Scotch Plains NJ 07076-4688 Ph: (908) 654-1500 |
| NPI Number | 1457602823 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 09/26/2012 |
| Medicare PECOS PAC ID | 9234383480 |
|---|---|
| Medicare Enrollment ID | O20130218000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457602823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06695100 (New Jersey) | Primary |
| Provider Name | Edred V Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154302024 PECOS PAC ID: 1254310063 Enrollment ID: I20040715000921 |
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