| Rapha Medical Group Pc | |
|
4622 Black Horse Pike Suite 101 Mays Landing NJ 08330 | |
| (609) 705-8143 | |
| (609) 837-0144 |
| Full Name | Rapha Medical Group Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4622 Black Horse Pike, Mays Landing, New Jersey |
| Authorized Official Name and Position | Augustine Aigbovbioise Unuigbe (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6094571415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rapha Medical Group Pc 4622 Black Horse Pike Suite 101 Mays Landing NJ 08330 Ph: (609) 705-8143 | Rapha Medical Group Pc 4622 Black Horse Pike Suite 101 Mays Landing NJ 08330 Ph: (609) 705-8143 |
| NPI Number | 1730512443 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 04/27/2017 |
| Medicare PECOS PAC ID | 7416173315 |
|---|---|
| Medicare Enrollment ID | O20140730000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730512443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Augustine Aigbovbioise Unuigbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902118383 PECOS PAC ID: 5991987174 Enrollment ID: I20110817000260 |
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