| Srha Med LLC | |
|
111 Town Square Pl Ste 1238 Jersey City NJ 07310-1810 | |
| (732) 476-4942 | |
| Not Available |
| Full Name | Srha Med LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 Town Square Pl Ste 1238, Jersey City, New Jersey |
| Authorized Official Name and Position | Syed Hassan (OWNER) |
| Authorized Official Contact | 7324764942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Srha Med LLC 99 Highway 37 W Toms River NJ 08755-6423 Ph: (732) 476-4942 | Srha Med LLC 111 Town Square Pl Ste 1238 Jersey City NJ 07310-1810 Ph: (732) 476-4942 |
| NPI Number | 1023827466 |
|---|---|
| Provider Enumeration Date | 12/31/2024 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Medicare PECOS PAC ID | 8426587783 |
|---|---|
| Medicare Enrollment ID | O20250131000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023827466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Syed R Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891922589 PECOS PAC ID: 7012154263 Enrollment ID: I20140818001165 |
| Provider Name | Aamir F Bolwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275209637 PECOS PAC ID: 6507256013 Enrollment ID: I20211123002926 |
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