| E. Martin Maida, M.d.,pa | |
|
209 S Livingston Ave Suite 7 Livingston NJ 07039-4044 | |
| (973) 535-6266 | |
| (973) 535-2810 |
| Full Name | E. Martin Maida, M.d.,pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 209 S Livingston Ave, Livingston, New Jersey |
| Authorized Official Name and Position | Pamela F Maida (SECRETARY) |
| Authorized Official Contact | 9735352734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E. Martin Maida, M.d.,pa 209 S Livingston Ave Suite 7 Livingston NJ 07039-4044 Ph: (973) 535-6266 | E. Martin Maida, M.d.,pa 209 S Livingston Ave Suite 7 Livingston NJ 07039-4044 Ph: (973) 535-6266 |
| NPI Number | 1609062512 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 7618160078 |
|---|---|
| Medicare Enrollment ID | O20101019000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609062512 | NPI | - | NPPES |
| DE4715 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04942800 (New Jersey) | Primary |
| Provider Name | Emanuel M Maida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114920451 PECOS PAC ID: 6103851365 Enrollment ID: I20050927001179 |
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