| Phctr | |
|
54 Washington St Toms River NJ 08753-7643 | |
| (732) 505-0213 | |
| Not Available |
| Full Name | Phctr |
|---|---|
| Speciality | Family Medicine |
| Location | 54 Washington St, Toms River, New Jersey |
| Authorized Official Name and Position | Joe J Calabro (OWNER) |
| Authorized Official Contact | 7322120061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phctr 66 W Gilbert St Suite 1 Tinton Falls NJ 07701-4947 Ph: (732) 212-0061 | Phctr 54 Washington St Toms River NJ 08753-7643 Ph: (732) 505-0213 |
| NPI Number | 1063890002 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/28/2015 |
| Medicare PECOS PAC ID | 0749696789 |
|---|---|
| Medicare Enrollment ID | O20210317000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063890002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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