| Bridge Medical Center Professional Association | |
|
351 Sparta Ave Suite 201 Sparta NJ 07871-1160 | |
| (973) 729-0016 | |
| (973) 729-0058 |
| Full Name | Bridge Medical Center Professional Association |
|---|---|
| Speciality | Internal Medicine |
| Location | 351 Sparta Ave, Sparta, New Jersey |
| Authorized Official Name and Position | Beth A Mazzaccaro (OFFICE MANAGER) |
| Authorized Official Contact | 9737290016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Medical Center Professional Association 4 Southwoods Ln Oak Ridge NJ 07438-9848 Ph: (973) 729-0016 | Bridge Medical Center Professional Association 351 Sparta Ave Suite 201 Sparta NJ 07871-1160 Ph: (973) 729-0016 |
| NPI Number | 1619244514 |
|---|---|
| Provider Enumeration Date | 11/19/2011 |
| Last Update Date | 08/28/2012 |
| Medicare PECOS PAC ID | 0941477285 |
|---|---|
| Medicare Enrollment ID | O20120127000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619244514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07206600 (New Jersey) | Primary |
| Provider Name | Genoveva Coyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437228707 PECOS PAC ID: 4183789035 Enrollment ID: I20090210000512 |
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Sparta Gastroenterology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 Lafayette Rd, Suite 101, Sparta, NJ 07871 Phone: 973-579-3174 Fax: 973-579-2961 | |
Omneity Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Main St, Sparta, NJ 07871 Phone: 973-729-9700 | |
Sparta Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Main St, Sparta, NJ 07871 Phone: 973-729-7400 Fax: 973-729-2201 | |
Greenheart Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Sparta Ave, Ste B6, Sparta, NJ 07871 Phone: 862-251-7265 Fax: 862-251-7267 | |
Premier Health Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 532 Lafayette Rd, Suite 200, Sparta, NJ 07871 Phone: 973-300-1248 Fax: 973-579-5267 |