| Marlboro Medical Center Llc | |
|
Plaza 203 Rte 9 S Englishtown NJ 07726 | |
| (723) 617-8800 | |
| (732) 617-8800 |
| Full Name | Marlboro Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Plaza 203 Rte 9 S, Englishtown, New Jersey |
| Authorized Official Name and Position | Narendra K Gupta (PRESIDENT) |
| Authorized Official Contact | 7326178800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlboro Medical Center Llc Plaza 203 Rte 9 S Englishtown NJ 07726 Ph: (723) 617-8800 | Marlboro Medical Center Llc Plaza 203 Rte 9 S Englishtown NJ 07726 Ph: (723) 617-8800 |
| NPI Number | 1073699401 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8729062229 |
|---|---|
| Medicare Enrollment ID | O20040617000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073699401 | NPI | - | NPPES |
| 078510 | Other | MEDICARE GROUP # | |
| 7665106 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | NA065420 (New Jersey) | Primary |
| Provider Name | Narendra K Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386750255 PECOS PAC ID: 8224024088 Enrollment ID: I20040426000503 |
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