| Medical Associates Of Freehold Llc | |
|
1 Applewood Drive Freehold NJ 07728-5309 | |
| (732) 946-7249 | |
| (732) 946-2540 |
| Full Name | Medical Associates Of Freehold Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Applewood Drive, Freehold, New Jersey |
| Authorized Official Name and Position | Charles Weston Hayne (OWNER) |
| Authorized Official Contact | 7324621036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Freehold Llc 27 Wildhedge Ln Holmdel NJ 07733-2115 Ph: (732) 946-7249 | Medical Associates Of Freehold Llc 1 Applewood Drive Freehold NJ 07728-5309 Ph: (732) 946-7249 |
| NPI Number | 1225115066 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/15/2015 |
| Medicare PECOS PAC ID | 3971594698 |
|---|---|
| Medicare Enrollment ID | O20040521000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225115066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles W Hayne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194816207 PECOS PAC ID: 7113918830 Enrollment ID: I20040521000105 |
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