| Medical Associates Of Central Jersey,pa | |
|
21 Clyde Rd Ste 102 Somerset NJ 08873-5043 | |
| (732) 422-8440 | |
| (732) 422-8404 |
| Full Name | Medical Associates Of Central Jersey,pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 Clyde Rd Ste 102, Somerset, New Jersey |
| Authorized Official Name and Position | Mir Sharif Ahmad (PRESIDENT) |
| Authorized Official Contact | 7324228440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Central Jersey,pa 21 Clyde Rd Ste 102 Somerset NJ 08873-5043 Ph: (732) 422-8440 | Medical Associates Of Central Jersey,pa 21 Clyde Rd Ste 102 Somerset NJ 08873-5043 Ph: (732) 422-8440 |
| NPI Number | 1972653624 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 8022285329 |
|---|---|
| Medicare Enrollment ID | O20120126000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972653624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MA062819 (New Jersey) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | MA062819 (New Jersey) | Primary |
| Provider Name | Mir S Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649336264 PECOS PAC ID: 7012184310 Enrollment ID: I20120126000476 |
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