| Patient Care Medical Group Pennsylvania Llc | |
|
26 Main St Edison NJ 08837-3418 | |
| (609) 521-4746 | |
| Not Available |
| Full Name | Patient Care Medical Group Pennsylvania Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 26 Main St, Edison, New Jersey |
| Authorized Official Name and Position | Andrew Pecora (OWNER) |
| Authorized Official Contact | 6097440050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Care Medical Group Pennsylvania Llc 26 Main St Edison NJ 08837-3418 Ph: () - | Patient Care Medical Group Pennsylvania Llc 26 Main St Edison NJ 08837-3418 Ph: (609) 521-4746 |
| NPI Number | 1720866270 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 1153854161 |
|---|---|
| Medicare Enrollment ID | O20241030000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720866270 | NPI | - | NPPES |
| Provider Name | Andrew P Pecora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376637553 PECOS PAC ID: 5092705285 Enrollment ID: I20241030002300 |
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