| Immedicenter Totowa | |
|
160 Union Blvd Ste 3 Totowa NJ 07512-2666 | |
| (973) 790-0090 | |
| (973) 790-6070 |
| Full Name | Immedicenter Totowa |
|---|---|
| Speciality | Family Medicine |
| Location | 160 Union Blvd, Totowa, New Jersey |
| Authorized Official Name and Position | Frank Lima (OWNER) |
| Authorized Official Contact | 9737948345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immedicenter Totowa 160 Union Blvd Ste 3 Totowa NJ 07512-2666 Ph: (973) 790-0090 | Immedicenter Totowa 160 Union Blvd Ste 3 Totowa NJ 07512-2666 Ph: (973) 790-0090 |
| NPI Number | 1174629943 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 04/05/2024 |
| Medicare PECOS PAC ID | 6507851359 |
|---|---|
| Medicare Enrollment ID | O20040420000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174629943 | NPI | - | NPPES |
| CG1322 | Other | NJ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Francesco Lima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679513063 PECOS PAC ID: 5890989354 Enrollment ID: I20101029000100 |
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