| Petrovani Family Medicine Pllc | |
|
10 Parker Pl Fords NJ 08863 | |
| (646) 759-5453 | |
| (646) 374-4940 |
| Full Name | Petrovani Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Parker Pl, Fords, New Jersey |
| Authorized Official Name and Position | Mark Petrovani (OWNER) |
| Authorized Official Contact | 8454254888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petrovani Family Medicine Pllc 10 Parker Pl Fords NJ 08863-2400 Ph: () - | Petrovani Family Medicine Pllc 10 Parker Pl Fords NJ 08863 Ph: (646) 759-5453 |
| NPI Number | 1124533443 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 11/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124533443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 195910 (New York) | Primary |
Clarabarton Cardio Medical Association Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 565 New Brunswick Ave, Fords, NJ 08863 Phone: 732-738-8000 |