| Imedical Associates, Llc | |
|
15-01 Broadway Suite 32 Fair Lawn NJ 07410-6003 | |
| (201) 791-6434 | |
| (201) 791-6446 |
| Full Name | Imedical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15-01 Broadway, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Mark Leonard Lehrman (PHYSICIAN) |
| Authorized Official Contact | 2017916434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imedical Associates, Llc 15-01 Broadway Suite 32 Fair Lawn NJ 07410-6003 Ph: (201) 791-6434 | Imedical Associates, Llc 15-01 Broadway Suite 32 Fair Lawn NJ 07410-6003 Ph: (201) 791-6434 |
| NPI Number | 1023350238 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 03/26/2013 |
| Medicare PECOS PAC ID | 2365660073 |
|---|---|
| Medicare Enrollment ID | O20140821001163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023350238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA03137700 (New Jersey) | Primary |
| Provider Name | Mark L Lehrman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306809090 PECOS PAC ID: 6901857374 Enrollment ID: I20050202000783 |
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