| Monfared Primary Care Llc | |
|
124 N 14th St Easton PA 18042-3218 | |
| (610) 438-0102 | |
| (610) 438-1254 |
| Full Name | Monfared Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 124 N 14th St, Easton, Pennsylvania |
| Authorized Official Name and Position | Ziba Monfared (OWNER) |
| Authorized Official Contact | 6104380102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monfared Primary Care Llc 124 N 14th St Easton PA 18042-3218 Ph: (610) 438-0102 | Monfared Primary Care Llc 124 N 14th St Easton PA 18042-3218 Ph: (610) 438-0102 |
| NPI Number | 1346865458 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Medicare PECOS PAC ID | 1658794748 |
|---|---|
| Medicare Enrollment ID | O20200708001083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346865458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ziba R Monfared |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467449074 PECOS PAC ID: 2668424631 Enrollment ID: I20050217000716 |
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