| Farag A Mankarios Md Llc | |
|
410 Route 34 Ste 216 Colts Neck NJ 07722-2519 | |
| (732) 863-5515 | |
| Not Available |
| Full Name | Farag A Mankarios Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 410 Route 34 Ste 216, Colts Neck, New Jersey |
| Authorized Official Name and Position | Mary Mankarios (ADMINISTRATOR) |
| Authorized Official Contact | 7328635515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farag A Mankarios Md Llc Po Box 32 Marlboro NJ 07746-0032 Ph: (732) 863-5515 | Farag A Mankarios Md Llc 410 Route 34 Ste 216 Colts Neck NJ 07722-2519 Ph: (732) 863-5515 |
| NPI Number | 1235639394 |
|---|---|
| Provider Enumeration Date | 02/15/2018 |
| Last Update Date | 02/15/2018 |
| Medicare PECOS PAC ID | 1254694417 |
|---|---|
| Medicare Enrollment ID | O20180423000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235639394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07048000 (New Jersey) | Primary |
| Provider Name | Farag A Mankarios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912930082 PECOS PAC ID: 1658339338 Enrollment ID: I20041228000607 |
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