| Clinton Medical Associates Pa | |
|
707 S Orange Ave South Orange NJ 07079-2698 | |
| (973) 761-6111 | |
| (973) 761-4990 |
| Full Name | Clinton Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 707 S Orange Ave, South Orange, New Jersey |
| Authorized Official Name and Position | Manisha Kadakia (BILLER) |
| Authorized Official Contact | 9737616111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Medical Associates Pa 707 S Orange Ave South Orange NJ 07079-2698 Ph: (973) 761-6111 | Clinton Medical Associates Pa 707 S Orange Ave South Orange NJ 07079-2698 Ph: (973) 761-6111 |
| NPI Number | 1295747871 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 10/18/2012 |
| Medicare PECOS PAC ID | 9133109150 |
|---|---|
| Medicare Enrollment ID | O20040721000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295747871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA043348 (New Jersey) | Primary |
| Provider Name | Dinesh R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285702829 PECOS PAC ID: 9436191962 Enrollment ID: I20050928000381 |
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