Naspac1 Llc | |
131 Bergen Street Unit 3 Newark NJ 07103 | |
(973) 573-7677 | |
Not Available |
Full Name | Naspac1 Llc |
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Speciality | Pain Medicine |
Location | 131 Bergen Street, Newark, New Jersey |
Authorized Official Name and Position | Renee Bogdol (REVENUE CYCLE DIRECTOR) |
Authorized Official Contact | 6098453988 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Naspac1 Llc 131 Bergen Street Unit 3 Newark NJ 07103 Ph: (973) 573-7677 | Naspac1 Llc 131 Bergen Street Unit 3 Newark NJ 07103 Ph: (973) 573-7677 |
NPI Number | 1720756216 |
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Provider Enumeration Date | 08/31/2021 |
Last Update Date | 08/31/2021 |
Certification Date | 07/30/2021 |
Medicare PECOS PAC ID | 1355563404 |
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Medicare Enrollment ID | O20211026003186 |
Identifier | Type | State | Issuer |
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1720756216 | NPI | - | NPPES |
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