| Howard Holtz, LLC | |
|
1500 Pleasant Valley Way Suite 205 West Orange NJ 07052-2956 | |
| (973) 669-9797 | |
| Not Available |
| Full Name | Howard Holtz, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1500 Pleasant Valley Way, West Orange, New Jersey |
| Authorized Official Name and Position | Howard Alan Holtz (CEO OWNER) |
| Authorized Official Contact | 9736699797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard Holtz, LLC 1500 Pleasant Valley Way Suite 205 West Orange NJ 07052-2956 Ph: (973) 669-9797 | Howard Holtz, LLC 1500 Pleasant Valley Way Suite 205 West Orange NJ 07052-2956 Ph: (973) 669-9797 |
| NPI Number | 1306229331 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Medicare PECOS PAC ID | 5496061707 |
|---|---|
| Medicare Enrollment ID | O20150901002868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306229331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04098100 (New Jersey) | Primary |
| Provider Name | Jacquelin Holubka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174577373 PECOS PAC ID: 9638070147 Enrollment ID: I20040420000973 |
| Provider Name | Howard a Holtz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972528669 PECOS PAC ID: 8628244381 Enrollment ID: I20111229000700 |
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