| Emile I. Rangel, Md, Llc | |
|
6804 Bergenline Avenue North Bergen NJ 07093-1826 | |
| (201) 240-2707 | |
| Not Available |
| Full Name | Emile I. Rangel, Md, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 6804 Bergenline Avenue, North Bergen, New Jersey |
| Authorized Official Name and Position | Emile Ivan Rangel (MEDICAL DIRECTOR/PRESIDENT) |
| Authorized Official Contact | 2012402707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emile I. Rangel, Md, Llc 4501 Palisade Ave., Apt. 10b Union City NJ 07087 Ph: (201) 240-2707 | Emile I. Rangel, Md, Llc 6804 Bergenline Avenue North Bergen NJ 07093-1826 Ph: (201) 240-2707 |
| NPI Number | 1336558162 |
|---|---|
| Provider Enumeration Date | 08/06/2014 |
| Last Update Date | 08/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336558162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MA066179 (New Jersey) | Primary |
| 261QP2300X | Clinic/center - Primary Care | MA066179 (New Jersey) | Secondary |
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