| Magaly Campos-munoz, M.d., P.a. | |
|
824 Elizabeth Ave Elizabeth NJ 07201-4708 | |
| (908) 352-0103 | |
| Not Available |
| Full Name | Magaly Campos-munoz, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 824 Elizabeth Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Magaly Campos-munoz (PRESIDENT) |
| Authorized Official Contact | 9083520103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magaly Campos-munoz, M.d., P.a. 824 Elizabeth Ave Elizabeth NJ 07201-4708 Ph: (908) 352-0103 | Magaly Campos-munoz, M.d., P.a. 824 Elizabeth Ave Elizabeth NJ 07201-4708 Ph: (908) 352-0103 |
| NPI Number | 1124381884 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Medicare PECOS PAC ID | 7911162433 |
|---|---|
| Medicare Enrollment ID | O20120709000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124381884 | NPI | - | NPPES |
| 0056197 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MAO62664 (New Jersey) | Primary |
| Provider Name | Magaly C Campos-munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720113095 PECOS PAC ID: 9537324058 Enrollment ID: I20120709000549 |
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