| Crescent Mulispeciality Group Llc | |
|
20 White Rd Suite B Shrewsbury NJ 07702-4039 | |
| (732) 747-4723 | |
| (732) 747-5998 |
| Full Name | Crescent Mulispeciality Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 White Rd, Shrewsbury, New Jersey |
| Authorized Official Name and Position | Shahid Waseem Farooqui (PRESIDENT) |
| Authorized Official Contact | 7327474723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Mulispeciality Group Llc 20 White Rd Ste B Shrewsbury NJ 07702-4039 Ph: (732) 747-4723 | Crescent Mulispeciality Group Llc 20 White Rd Suite B Shrewsbury NJ 07702-4039 Ph: (732) 747-4723 |
| NPI Number | 1821057837 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 07/01/2009 |
| Medicare PECOS PAC ID | 5597740746 |
|---|---|
| Medicare Enrollment ID | O20040622000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821057837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA50568 (New Jersey) | Primary |
| Provider Name | Shahid W Farooqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205804127 PECOS PAC ID: 9830186295 Enrollment ID: I20040428000073 |
| Provider Name | Florence Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144716648 PECOS PAC ID: 3870841695 Enrollment ID: I20180809005064 |
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