| Mend PA | |
|
2 Lincoln Hwy 501 Edison NJ 08820-3961 | |
| (732) 549-7470 | |
| (732) 494-8596 |
| Full Name | Mend PA |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 2 Lincoln Hwy, Edison, New Jersey |
| Authorized Official Name and Position | Harvey Kenneth Bucholtz (PRESIDENT) |
| Authorized Official Contact | 7325497470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mend PA 2 Lincoln Hwy 501 Edison NJ 08820-3961 Ph: (732) 549-7470 | Mend PA 2 Lincoln Hwy 501 Edison NJ 08820-3961 Ph: (732) 549-7470 |
| NPI Number | 1386616076 |
|---|---|
| Provider Enumeration Date | 02/06/2006 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386616076 | NPI | - | NPPES |
| CF1917 | Other | NJ | RAILROAD MEDICARE |
| ME445889 | Other | NJ | MEDICARE GROUP # |
| 279900620 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (NU) | Primary |
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