| Geriatric Medical Center Llc | |
|
9 Mule Rd Suite E8 Toms River NJ 08755-5043 | |
| (732) 341-6070 | |
| (732) 341-6077 |
| Full Name | Geriatric Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9 Mule Rd, Toms River, New Jersey |
| Authorized Official Name and Position | Sanjiv K Sharma (SOLE OWNER) |
| Authorized Official Contact | 7323416070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Medical Center Llc 9 Mule Rd Suite E8 Toms River NJ 08755-5043 Ph: (732) 341-6070 | Geriatric Medical Center Llc 9 Mule Rd Suite E8 Toms River NJ 08755-5043 Ph: (732) 341-6070 |
| NPI Number | 1366644734 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 04/04/2013 |
| Medicare PECOS PAC ID | 5597864207 |
|---|---|
| Medicare Enrollment ID | O20070621000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366644734 | NPI | - | NPPES |
| 111281 | Other | NJ | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA69572 (New Jersey) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 25MA69572 (New Jersey) | Secondary |
| Provider Name | Sanjiv K Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285607739 PECOS PAC ID: 1052419272 Enrollment ID: I20070611000671 |
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