| Lakewood Immediate Care | |
|
1700 Madison Ave Lakewood NJ 08701-1253 | |
| (908) 315-5602 | |
| Not Available |
| Full Name | Lakewood Immediate Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 Madison Ave, Lakewood, New Jersey |
| Authorized Official Name and Position | Anne C Fish (CEO) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Immediate Care 1700 Madison Ave Lakewood NJ 08701-1253 Ph: () - | Lakewood Immediate Care 1700 Madison Ave Lakewood NJ 08701-1253 Ph: (908) 315-5602 |
| NPI Number | 1548636301 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 5193035715 |
|---|---|
| Medicare Enrollment ID | O20151112000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548636301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Samuel A Preschel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063561413 PECOS PAC ID: 4688635220 Enrollment ID: I20041026000834 |
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