Provider Demographics
NPI:1679970636
Name:SIMCARE MEDICAL ASSOCIATES CHARTERED
Entity type:Organization
Organization Name:SIMCARE MEDICAL ASSOCIATES CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:MERLINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-625-2626
Mailing Address - Street 1:4612 SOMERS POINT RD
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-1686
Mailing Address - Country:US
Mailing Address - Phone:609-625-2626
Mailing Address - Fax:609-625-3535
Practice Address - Street 1:4612 SOMERS POINT RD
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-1686
Practice Address - Country:US
Practice Address - Phone:609-625-2626
Practice Address - Fax:609-625-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNONE261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care