| Ams Medical Llc | |
|
6 Orchard Way Warren NJ 07059-5056 | |
| (908) 418-0409 | |
| Not Available |
| Full Name | Ams Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Orchard Way, Warren, New Jersey |
| Authorized Official Name and Position | Rekha Agrawal (PRESIDENT) |
| Authorized Official Contact | 9084180409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ams Medical Llc 6 Orchard Way Warren NJ 07059-5056 Ph: (908) 222-9004 | Ams Medical Llc 6 Orchard Way Warren NJ 07059-5056 Ph: (908) 418-0409 |
| NPI Number | 1043273840 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 08/05/2022 |
| Medicare PECOS PAC ID | 2567456841 |
|---|---|
| Medicare Enrollment ID | O20040409000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043273840 | NPI | - | NPPES |
| 6344704 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MAO6103700 (New Jersey) | Primary |
| Provider Name | Rekha Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073638797 PECOS PAC ID: 0648264929 Enrollment ID: I20050926000605 |
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