| Express Med Care Llc | |
|
59 Paul Robeson Pl Princeton NJ 08540-3701 | |
| (973) 868-0615 | |
| Not Available |
| Full Name | Express Med Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 59 Paul Robeson Pl, Princeton, New Jersey |
| Authorized Official Name and Position | Sampson M Davis (AUTHORIZED MEMBER) |
| Authorized Official Contact | 9738680615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Express Med Care Llc 350 Harding Dr South Orange NJ 07079-1339 Ph: (973) 868-0615 | Express Med Care Llc 59 Paul Robeson Pl Princeton NJ 08540-3701 Ph: (973) 868-0615 |
| NPI Number | 1144814682 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 02/25/2021 |
| Medicare PECOS PAC ID | 8426466459 |
|---|---|
| Medicare Enrollment ID | O20210413000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144814682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Sampson M Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346242310 PECOS PAC ID: 7012963218 Enrollment ID: I20050330000445 |
| Provider Name | Tanesha R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902304611 PECOS PAC ID: 3870849284 Enrollment ID: I20180627001345 |
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