| Subhash Gopal Mehta,md,pa | |
|
13 Mechanic Street Cape May Court House NJ 08210-4221 | |
| (609) 465-2299 | |
| Not Available |
| Full Name | Subhash Gopal Mehta,md,pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 13 Mechanic Street, Cape May Court House, New Jersey |
| Authorized Official Name and Position | Subhash G Mehta (OWNER) |
| Authorized Official Contact | 6094652299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Subhash Gopal Mehta,md,pa 510 Bank Street Suite 160 Cape May NJ 08204-1468 Ph: (609) 884-2122 | Subhash Gopal Mehta,md,pa 13 Mechanic Street Cape May Court House NJ 08210-4221 Ph: (609) 465-2299 |
| NPI Number | 1942264452 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 07/26/2010 |
| Medicare PECOS PAC ID | 9739211129 |
|---|---|
| Medicare Enrollment ID | O20100721000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942264452 | NPI | - | NPPES |
| 445113356 | Other | NJ | RAILROAD MEDICARE |
| 2991802 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA03590200 (New Jersey) | Primary |
| Provider Name | Subhash Gopal Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255312856 PECOS PAC ID: 1254463631 Enrollment ID: I20100721000041 |
| Provider Name | Marilee Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326304536 PECOS PAC ID: 7113146994 Enrollment ID: I20140909001621 |
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