| Florence Medical Pc | |
|
691 Delaware Ave Roebling NJ 08554-2001 | |
| (609) 499-8100 | |
| Not Available |
| Full Name | Florence Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 691 Delaware Ave, Roebling, New Jersey |
| Authorized Official Name and Position | Ahmad Haj-ibrahim (PRESIDENT) |
| Authorized Official Contact | 6094998100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florence Medical Pc 691 Delaware Ave Po Box 301 Roebling NJ 08554-2001 Ph: (609) 499-8100 | Florence Medical Pc 691 Delaware Ave Roebling NJ 08554-2001 Ph: (609) 499-8100 |
| NPI Number | 1740373083 |
|---|---|
| Provider Enumeration Date | 09/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3375669799 |
|---|---|
| Medicare Enrollment ID | O20100923000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740373083 | NPI | - | NPPES |
| 0331972001 | Other | AMERIHEALTH HMO | |
| 2030470 | Other | UNITED HELTHCARE AARP | |
| 2K4971 | Other | HEALTHNET | |
| 5634087 | Other | FIRST HEALTH | |
| 7365832 | Other | CIGNA | |
| 2171226 | Other | AETNA | |
| 8169004 | Medicaid | NJ | |
| P2194303 | Other | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmad Haj-ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730198854 PECOS PAC ID: 4284750605 Enrollment ID: I20100923000047 |