| Olga M Maimon MD PC | |
|
758 Route 18 Ste 103a East Brunswick NJ 08816-4923 | |
| (732) 360-0117 | |
| (732) 360-0033 |
| Full Name | Olga M Maimon MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 758 Route 18 Ste 103a, East Brunswick, New Jersey |
| Authorized Official Name and Position | Olga M Maimon (OWNER) |
| Authorized Official Contact | 7323600117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olga M Maimon MD PC 3 Hospital Plz Ste 405 Old Bridge NJ 08857-3093 Ph: (732) 360-0117 | Olga M Maimon MD PC 758 Route 18 Ste 103a East Brunswick NJ 08816-4923 Ph: (732) 360-0117 |
| NPI Number | 1912954132 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/20/2023 |
| Medicare PECOS PAC ID | 7113956350 |
|---|---|
| Medicare Enrollment ID | O20050809000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912954132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA07825200 (New Jersey) | Primary |
| Provider Name | Olga Maimon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073598850 PECOS PAC ID: 3678535002 Enrollment ID: I20050809000242 |
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