| Central Jersey Infectious Diseases, Pc | |
|
215 Gordons Corner Rd Ste 2j Manalapan NJ 07726-3352 | |
| (732) 792-0741 | |
| (732) 792-0745 |
| Full Name | Central Jersey Infectious Diseases, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 215 Gordons Corner Rd Ste 2j, Manalapan, New Jersey |
| Authorized Official Name and Position | Alfred Anthony Deluca (PRESIDENT CJID, PC) |
| Authorized Official Contact | 7327920741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Jersey Infectious Diseases, Pc 215 Gordons Corner Rd Ste 2j Manalapan NJ 07726-3352 Ph: (732) 792-0741 | Central Jersey Infectious Diseases, Pc 215 Gordons Corner Rd Ste 2j Manalapan NJ 07726-3352 Ph: (732) 792-0741 |
| NPI Number | 1538384425 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204935059 |
|---|---|
| Medicare Enrollment ID | O20070620000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538384425 | NPI | - | NPPES |
| 1265523021 | Other | NJ | NPI (INDIVIDUAL) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA04894600 (New Jersey) | Primary |
| Provider Name | Alfred Deluca |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265523021 PECOS PAC ID: 8426157249 Enrollment ID: I20070620000176 |
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