| Id Careguard | |
|
255 W Spring Valley Ave Suite 200 Maywood NJ 07607-1445 | |
| (201) 343-2778 | |
| (201) 343-1990 |
| Full Name | Id Careguard |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 255 W Spring Valley Ave, Maywood, New Jersey |
| Authorized Official Name and Position | Eugene Carter French (PRESIDENT) |
| Authorized Official Contact | 2013432778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Careguard 255 W Spring Valley Ave Suite 200 Maywood NJ 07607-1445 Ph: (201) 343-2778 | Id Careguard 255 W Spring Valley Ave Suite 200 Maywood NJ 07607-1445 Ph: (201) 343-2778 |
| NPI Number | 1215971528 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 07/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215971528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MA058436 (New Jersey) | Primary |
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