| Amazing Grace Medical Center Llc | |
|
445 Marshall St Phillipsburg NJ 08865-2695 | |
| (609) 582-0899 | |
| (833) 957-0121 |
| Full Name | Amazing Grace Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 445 Marshall St, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Ebere Ezeanya (OWNER) |
| Authorized Official Contact | 9737045644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Grace Medical Center Llc 4995 Derby Ln Bethlehem PA 18020-9418 Ph: (973) 704-5644 | Amazing Grace Medical Center Llc 445 Marshall St Phillipsburg NJ 08865-2695 Ph: (609) 582-0899 |
| NPI Number | 1801420948 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801420948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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