MEDICARE: CARE PLUS MEDICAL ASSOCIATES 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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1760684278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE PLUS MEDICAL ASSOCIATES PC

Provider Business Mailing Address
First Line	:	178 GLENWOOD AVE.
Second Line	:
City	:	BLOOMFIELD
State	:	NJ
Zip	:	07003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	953 SOUTHERN BLVD
Second Line	:	SUITE 204
City	:	BRONX
State	:	NY
Zip	:	10459-3428
Country	:	US
Telephone Number	:	646-209-7350
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. EMMANUEL GACHETTE
Credential	:	MD
Telephone Number	:	646-209-7350

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	07/10/2008

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