| Endocrinology And Diabetes Associates, Llc | |
|
1590 Anderson Ave 10 H Fort Lee NJ 07024-2702 | |
| (646) 245-2415 | |
| (201) 482-8212 |
| Full Name | Endocrinology And Diabetes Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1590 Anderson Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Neal G Breit (OWNER) |
| Authorized Official Contact | 6462452415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology And Diabetes Associates, Llc 1590 Anderson Ave 10 H Fort Lee NJ 07024-2702 Ph: (646) 245-2415 | Endocrinology And Diabetes Associates, Llc 1590 Anderson Ave 10 H Fort Lee NJ 07024-2702 Ph: (646) 245-2415 |
| NPI Number | 1528209087 |
|---|---|
| Provider Enumeration Date | 03/13/2009 |
| Last Update Date | 03/13/2009 |
| Medicare PECOS PAC ID | 1759430101 |
|---|---|
| Medicare Enrollment ID | O20090514000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528209087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Neal Breit |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558419630 PECOS PAC ID: 6305995754 Enrollment ID: I20090514000385 |
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