| Preventive And Diagonostic Medical Center P.a. | |
|
27 S Franklin Tpke Ramsey NJ 07446-2550 | |
| (201) 818-6800 | |
| Not Available |
| Full Name | Preventive And Diagonostic Medical Center P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 27 S Franklin Tpke, Ramsey, New Jersey |
| Authorized Official Name and Position | Arun Sehgal (MD) |
| Authorized Official Contact | 2018186800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive And Diagonostic Medical Center P.a. 27 S Franklin Tpke Ramsey NJ 07446-2550 Ph: (201) 818-6800 | Preventive And Diagonostic Medical Center P.a. 27 S Franklin Tpke Ramsey NJ 07446-2550 Ph: (201) 818-6800 |
| NPI Number | 1679650105 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 03/23/2009 |
| Medicare PECOS PAC ID | 2365410206 |
|---|---|
| Medicare Enrollment ID | O20080902000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679650105 | NPI | - | NPPES |
| P00145412 | Other | NJ | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA064252 (New Jersey) | Primary |
| Provider Name | Kanchana Balasubramanian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780626143 PECOS PAC ID: 6406842251 Enrollment ID: I20040426000495 |
| Provider Name | Arun Sehgal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326017799 PECOS PAC ID: 4981672821 Enrollment ID: I20041108000100 |
| Provider Name | Sospeter Obiero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265567788 PECOS PAC ID: 0244338861 Enrollment ID: I20070606000046 |
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