| Montville Park Physician Associates | |
|
150 River Rd Suite N1 Montville NJ 07045-9441 | |
| (973) 263-9900 | |
| Not Available |
| Full Name | Montville Park Physician Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 River Rd, Montville, New Jersey |
| Authorized Official Name and Position | Wagih Wassef (PRESIDENT) |
| Authorized Official Contact | 9732639900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montville Park Physician Associates 150 River Rd Suite N1 Montville NJ 07045-9441 Ph: (973) 263-9900 | Montville Park Physician Associates 150 River Rd Suite N1 Montville NJ 07045-9441 Ph: (973) 263-9900 |
| NPI Number | 1528231875 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Medicare PECOS PAC ID | 9436225117 |
|---|---|
| Medicare Enrollment ID | O20080903000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528231875 | NPI | - | NPPES |
| 6806104 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA061582 (New Jersey) | Primary |
| 208000000X | Pediatrics | MA081421 (New Jersey) | Secondary |
| Provider Name | Wagih G Wassef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588760094 PECOS PAC ID: 6800837154 Enrollment ID: I20050517000342 |
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