| Fayez Mikhail, Llc | |
|
23 Mayfair Rd Southampton NJ 08088-1014 | |
| (609) 587-1001 | |
| (302) 239-2105 |
| Full Name | Fayez Mikhail, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23 Mayfair Rd, Southampton, New Jersey |
| Authorized Official Name and Position | Fayez Mikhail (PROVIDER) |
| Authorized Official Contact | 6095871001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayez Mikhail, Llc 23 Mayfair Rd Southampton NJ 08088-1014 Ph: (609) 587-1001 | Fayez Mikhail, Llc 23 Mayfair Rd Southampton NJ 08088-1014 Ph: (609) 587-1001 |
| NPI Number | 1699710558 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 11/17/2009 |
| Medicare PECOS PAC ID | 2860443637 |
|---|---|
| Medicare Enrollment ID | O20050209000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699710558 | NPI | - | NPPES |
| 3594006 | Medicaid | NJ | |
| 0K0104 | Other | NJ | HEALTHNET |
| 110027952 | Other | NJ | RAIL ROAD MEDICARE |
| P421119 | Other | NJ | OXFORD |
| 0212428000 | Other | NJ | AMERIHEALTH |
| 1024394 | Other | NJ | MERCY |
| 83916 | Other | NJ | AMERICAID |
| 9100008422 | Other | NJ | AMERICHOICE |
| 0533633 | Other | NJ | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Fayez A Mikhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770696841 PECOS PAC ID: 8022069897 Enrollment ID: I20050209000558 |
Max Burger Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 Route 206, Suite 10, Southampton, NJ 08088 Phone: 609-801-0300 Fax: 609-801-0399 | |
Rad Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 Eayrestown Rd, Southampton, NJ 08088 Phone: 609-233-9305 |