| Holy Medical Care | |
|
1-147 Cedar Lane Teaneck NJ 07666 | |
| (201) 920-6222 | |
| (201) 768-2310 |
| Full Name | Holy Medical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1-147 Cedar Lane, Teaneck, New Jersey |
| Authorized Official Name and Position | Ashraf Shaker (PHYSICIAN) |
| Authorized Official Contact | 2019206222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holy Medical Care 2-125 Hudson Ave Ridgefield Park NJ 07666 Ph: (201) 920-6222 | Holy Medical Care 1-147 Cedar Lane Teaneck NJ 07666 Ph: (201) 920-6222 |
| NPI Number | 1902552862 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/15/2023 |
| Medicare PECOS PAC ID | 9032599451 |
|---|---|
| Medicare Enrollment ID | O20220701001203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902552862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ashraf F Shaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235159658 PECOS PAC ID: 0547241507 Enrollment ID: I20040526000333 |
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