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NPI Code Detail

MEDICARE: MINIMED CARE PA

MEDICARE: MINIMED CARE PA
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1245314244
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINIMED CARE PA
Provider Business Mailing Address
First Line : 2 NORTH RD
Second Line :
City : CHESTER
State : NJ
Zip : 07930-2318
Country : US
Telephone Number : 908-879-6950
Fax Number : 908-879-4575
Provider Business Practice Location Address
First Line : 2 NORTH RD
Second Line :
City : CHESTER
State : NJ
Zip : 07930-2318
Country : US
Telephone Number : 908-879-6950
Fax Number : 908-879-4575
Authorized Official
Title or Position : OWNER
Name : DR. LAWRENCE N EARL
Credential : M.D.
Telephone Number : 908-879-6950
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/22/2020

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Directions to “MINIMED CARE PA ” Practice Location

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