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NPI Code Detail

MEDICARE: COLOMBUS URGENT CARE PC

MEDICARE: COLOMBUS URGENT CARE PC
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
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101118975OTHERAMERIGROUP

General Provider Information

NPI Number : 1659879088
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLOMBUS URGENT CARE PC
Provider Business Mailing Address
First Line : 350 BLOOMFIELD AVE STE 4
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-4852
Country : US
Telephone Number : 973-748-9330
Fax Number : 973-748-6985
Provider Business Practice Location Address
First Line : 3235 JOHN F KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-3405
Country : US
Telephone Number : 908-688-4424
Fax Number : 973-748-6985
Authorized Official
Title or Position : OWNER
Name : DR. PRANAY J BHATT
Credential : MD
Telephone Number : 908-688-4424
Provider Enumeration Date : 01/31/2018
Last Update Date : 12/16/2022

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Directions to “COLOMBUS URGENT CARE PC ” Practice Location

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