| Dr. Pankaj Shirolawala Md | |
|
609 Amboy Ave Ste 101 Perth Amboy NJ 08861-2577 | |
| (732) 442-2211 | |
| (732) 326-0517 |
| Full Name | Dr. Pankaj Shirolawala Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 609 Amboy Ave Ste 101, Perth Amboy, New Jersey |
| Authorized Official Name and Position | Pankaj R Shirolawala (PHYSICIAN - SINGLE OWNER - LLC) |
| Authorized Official Contact | 7324422211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Pankaj Shirolawala Md 61 Arizona Ave Old Bridge NJ 08857-4317 Ph: (732) 442-2211 | Dr. Pankaj Shirolawala Md 609 Amboy Ave Ste 101 Perth Amboy NJ 08861-2577 Ph: (732) 442-2211 |
| NPI Number | 1013103712 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 12/27/2022 |
| Medicare PECOS PAC ID | 8224047394 |
|---|---|
| Medicare Enrollment ID | O20060418000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013103712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07849500 (New Jersey) | Primary |
| Provider Name | Pankaj Shirolawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003882523 PECOS PAC ID: 8325068851 Enrollment ID: I20060328000011 |
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