| Oak Tree Family Practice, Llc | |
|
173 Essex Ave Suite 101 Metuchen NJ 08840-2281 | |
| (732) 321-5100 | |
| (732) 321-5252 |
| Full Name | Oak Tree Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 173 Essex Ave, Metuchen, New Jersey |
| Authorized Official Name and Position | Paul M Ahn (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7323215100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Tree Family Practice, Llc 173 Essex Ave Suite 101 Metuchen NJ 08840-2281 Ph: (732) 321-5100 | Oak Tree Family Practice, Llc 173 Essex Ave Suite 101 Metuchen NJ 08840-2281 Ph: (732) 321-5100 |
| NPI Number | 1992954887 |
|---|---|
| Provider Enumeration Date | 09/16/2008 |
| Last Update Date | 01/15/2015 |
| Medicare PECOS PAC ID | 8921166596 |
|---|---|
| Medicare Enrollment ID | O20081027000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992954887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB06391200 (New Jersey) | Primary |
| Provider Name | Paul M Ahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609934298 PECOS PAC ID: 1052497781 Enrollment ID: I20080321000002 |
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