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Organization

PEMCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY JOHN MISKO JR. MD (OWNER)
(732) 287-6004
Entity
Organization

Contact information

Practice address
267 CENTRAL AVE, METUCHEN, NJ 08840-1269
(732) 287-6004
(732) 287-3575
Mailing address
267 CENTRAL AVE, METUCHEN, NJ 08840-1269
(732) 287-6004
(732) 287-3575

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA62917
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0462541000
AMERIHEALTH PPO
01
0744764001
AMERIHEALTH HMO POS
01
1734357
FIRST HEALTH
01
1737406
UNITED HEALTHCARE
01
1K2138
HEALTHNET
01
2185368
AETNA
01
23641
AETNA CAP
01
2596853
GHI
01
31832
MASTERCARE
01
40049
MEDICHOICE
01
4H8791
WELLCHOICE
01
8637489
CIGNA
01
J7960
HORIZON HMO POS
01
P1934612
OXFORD
Enumeration date
01/18/2007
Last updated
05/09/2017
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