| Crown Family Medical Care | |
|
629 Amboy Ave Suite 109 Edison NJ 08837-3579 | |
| (732) 486-3365 | |
| (732) 486-3367 |
| Full Name | Crown Family Medical Care |
|---|---|
| Speciality | Family Medicine |
| Location | 629 Amboy Ave, Edison, New Jersey |
| Authorized Official Name and Position | Adedayo Aderibigbe (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8622151678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Family Medical Care 21 Keswick Cir Monroe NJ 08831-4906 Ph: () - | Crown Family Medical Care 629 Amboy Ave Suite 109 Edison NJ 08837-3579 Ph: (732) 486-3365 |
| NPI Number | 1649619644 |
|---|---|
| Provider Enumeration Date | 06/24/2013 |
| Last Update Date | 01/27/2021 |
| Medicare PECOS PAC ID | 1759512486 |
|---|---|
| Medicare Enrollment ID | O20140324000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649619644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA08693900 (New Jersey) | Primary |
| Provider Name | Adedayo O Aderibigbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528226842 PECOS PAC ID: 3870766637 Enrollment ID: I20140324000250 |
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