| Bridge To Life Clinical Consultants, Llc | |
|
811 Washington Rd Ste 1b Parlin NJ 08859-1078 | |
| (848) 444-1962 | |
| Not Available |
| Full Name | Bridge To Life Clinical Consultants, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 811 Washington Rd Ste 1b, Parlin, New Jersey |
| Authorized Official Name and Position | Bridget I. Nkatta-abongwa (CEO) |
| Authorized Official Contact | 7322592609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge To Life Clinical Consultants, Llc 26 Fern Ct Sayreville NJ 08872-2103 Ph: (848) 444-1962 | Bridge To Life Clinical Consultants, Llc 811 Washington Rd Ste 1b Parlin NJ 08859-1078 Ph: (848) 444-1962 |
| NPI Number | 1902425424 |
|---|---|
| Provider Enumeration Date | 04/14/2020 |
| Last Update Date | 01/25/2021 |
| Medicare PECOS PAC ID | 0749610905 |
|---|---|
| Medicare Enrollment ID | O20200501000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902425424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Bridget I Nkatta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700124195 PECOS PAC ID: 7315182011 Enrollment ID: I20130401000022 |
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