| Primary Care Of New Brunswick Pc | |
|
90 Paterson St. New Brunswick NJ 08901 | |
| (732) 822-4355 | |
| Not Available |
| Full Name | Primary Care Of New Brunswick Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 90 Paterson St., New Brunswick, New Jersey |
| Authorized Official Name and Position | Heraa Chaudhry (OWNER) |
| Authorized Official Contact | 7328224355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of New Brunswick Pc 90 Paterson St. New Brunswick NJ 08901 Ph: () - | Primary Care Of New Brunswick Pc 90 Paterson St. New Brunswick NJ 08901 Ph: (732) 822-4355 |
| NPI Number | 1255029575 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 2163888405 |
|---|---|
| Medicare Enrollment ID | O20230511003050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255029575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shauhab Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942599352 PECOS PAC ID: 7719108133 Enrollment ID: I20141028000119 |
| Provider Name | Heraa Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649634502 PECOS PAC ID: 9133414436 Enrollment ID: I20210315002374 |
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