| Clarabarton Cardio Medical Association Inc. | |
|
565 New Brunswick Ave Fords NJ 08863-2162 | |
| (732) 738-8000 | |
| Not Available |
| Full Name | Clarabarton Cardio Medical Association Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 565 New Brunswick Ave, Fords, New Jersey |
| Authorized Official Name and Position | Pervaize Latif (PRESIDENT) |
| Authorized Official Contact | 7327388000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarabarton Cardio Medical Association Inc. 565 New Brunswick Ave Fords NJ 08863-2162 Ph: (732) 738-8000 | Clarabarton Cardio Medical Association Inc. 565 New Brunswick Ave Fords NJ 08863-2162 Ph: (732) 738-8000 |
| NPI Number | 1215019997 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 10/01/2010 |
| Medicare PECOS PAC ID | 3375591704 |
|---|---|
| Medicare Enrollment ID | O20050112000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215019997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Shahid Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609941764 PECOS PAC ID: 2365630258 Enrollment ID: I20101220000109 |
| Provider Name | Ajit S Sodhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750474656 PECOS PAC ID: 7911186770 Enrollment ID: I20110125001064 |
Petrovani Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Parker Pl, Fords, NJ 08863 Phone: 646-759-5453 Fax: 646-374-4940 |