| Geriatric Treatment Resources Llc | |
|
123 Franklin Corner Rd Ste 204 Lawrence Township NJ 08648-2526 | |
| (609) 730-1888 | |
| Not Available |
| Full Name | Geriatric Treatment Resources Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 123 Franklin Corner Rd Ste 204, Lawrence Township, New Jersey |
| Authorized Official Name and Position | Priti S Gujar (PRESIDENT) |
| Authorized Official Contact | 6097445754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Treatment Resources Llc 12 Bailey Dr Princeton NJ 08540-7955 Ph: (609) 744-5754 | Geriatric Treatment Resources Llc 123 Franklin Corner Rd Ste 204 Lawrence Township NJ 08648-2526 Ph: (609) 730-1888 |
| NPI Number | 1154553063 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 09/16/2021 |
| Medicare PECOS PAC ID | 2961541180 |
|---|---|
| Medicare Enrollment ID | O20091201000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154553063 | NPI | - | NPPES |
| 8213101 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Priti S Gujar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356382600 PECOS PAC ID: 1850495623 Enrollment ID: I20070404000058 |
| Provider Name | Selena Sackroolar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972152080 PECOS PAC ID: 7810229275 Enrollment ID: I20191105000021 |
| Provider Name | Juna Engutan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902573389 PECOS PAC ID: 2365975364 Enrollment ID: I20241029004637 |