| Njr Healthcare Pc | |
|
1616 Pacific Ave Suite 212 Atlantic City NJ 08401-6939 | |
| (609) 498-7220 | |
| (185) 527-1739 |
| Full Name | Njr Healthcare Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1616 Pacific Ave, Atlantic City, New Jersey |
| Authorized Official Name and Position | Alan H Faustino (DOCTOR) |
| Authorized Official Contact | 6093353072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Njr Healthcare Pc 1616 Pacific Ave Suite 212 Atlantic City NJ 08401-6939 Ph: (609) 498-7220 | Njr Healthcare Pc 1616 Pacific Ave Suite 212 Atlantic City NJ 08401-6939 Ph: (609) 498-7220 |
| NPI Number | 1134399447 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 06/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134399447 | NPI | - | NPPES |
| 0111031 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MA07168000 (New Jersey) | Primary |
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