| Premier Medicine And Wellness Llc | |
|
231 Crosswicks Rd Ste 11 Bordentown NJ 08505-2602 | |
| (609) 298-7204 | |
| (609) 298-0491 |
| Full Name | Premier Medicine And Wellness Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 231 Crosswicks Rd Ste 11, Bordentown, New Jersey |
| Authorized Official Name and Position | Prathibha Potharlanka (PRESIDENT) |
| Authorized Official Contact | 8564657728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medicine And Wellness Llc 30 Belmont Cir Columbus NJ 08022-9714 Ph: (609) 789-0800 | Premier Medicine And Wellness Llc 231 Crosswicks Rd Ste 11 Bordentown NJ 08505-2602 Ph: (609) 298-7204 |
| NPI Number | 1346591351 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 01/27/2021 |
| Medicare PECOS PAC ID | 7719124734 |
|---|---|
| Medicare Enrollment ID | O20130513000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346591351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Prathibha Potharlanka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295761690 PECOS PAC ID: 4587633862 Enrollment ID: I20041004000017 |
| Provider Name | Haytham Albizem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467442285 PECOS PAC ID: 1658304696 Enrollment ID: I20050912000431 |
| Provider Name | Pravin P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679557292 PECOS PAC ID: 2567636426 Enrollment ID: I20200310000091 |
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