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NPI Code Detail

MEDICARE: 100 PERCENT HEALTHCARE LLC

MEDICARE: 100 PERCENT HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207RI0200XInfectious Disease Physician
3208D00000XGeneral Practice Physician
4207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1023820370
Entity Type Code : Organization
Provider Name (Legal Business Name) : 100 PERCENT HEALTHCARE LLC
Provider Business Mailing Address
First Line : 2106 NEW RD STE F2
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1053
Country : US
Telephone Number : 609-699-5750
Fax Number : 609-699-5752
Provider Business Practice Location Address
First Line : 2106 NEW RD STE F2
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1053
Country : US
Telephone Number : 609-699-5750
Fax Number : 609-699-5752
Authorized Official
Title or Position : OWNER
Name : ATHANASIOS G. PAPASTAMELOS
Credential :
Telephone Number : 609-926-5451
Provider Enumeration Date : 01/23/2025
Last Update Date : 06/03/2026

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Directions to “100 PERCENT HEALTHCARE LLC ” Practice Location

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