| Rosedale Medical Pc | |
|
415 Avenel St Avenel NJ 07001-1147 | |
| (732) 636-7888 | |
| (732) 636-7887 |
| Full Name | Rosedale Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 415 Avenel St, Avenel, New Jersey |
| Authorized Official Name and Position | Samina A Syed-naqvi (PRESIDENT) |
| Authorized Official Contact | 7326344300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosedale Medical Pc 415 Avenel St Avenel NJ 07001-1147 Ph: (732) 636-7888 | Rosedale Medical Pc 415 Avenel St Avenel NJ 07001-1147 Ph: (732) 636-7888 |
| NPI Number | 1992983522 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 12/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992983522 | NPI | - | NPPES |
| 0150452 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07505700 (New Jersey) | Primary |
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