| Ceo | |
|
725 N Broad St Elizabeth NJ 07208-2347 | |
| (908) 351-8989 | |
| (908) 351-8879 |
| Full Name | Ceo |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 725 N Broad St, Elizabeth, New Jersey |
| Authorized Official Name and Position | Aruna S Patel (CEO) |
| Authorized Official Contact | 9083518989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ceo 725 N Broad St Elizabeth NJ 07208-2347 Ph: (908) 351-8989 | Ceo 725 N Broad St Elizabeth NJ 07208-2347 Ph: (908) 351-8989 |
| NPI Number | 1093829590 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093829590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 25MA03684700 (New Jersey) | Primary |
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