| Infectious Disease Associates | |
|
189 Eagle Rock Ave Roseland NJ 07068-1347 | |
| (973) 364-2682 | |
| (973) 364-1430 |
| Full Name | Infectious Disease Associates |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 189 Eagle Rock Ave, Roseland, New Jersey |
| Authorized Official Name and Position | Leon G. Smith (PRESIDENT) |
| Authorized Official Contact | 9733642682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Associates Po Box 174 Roseland NJ 07068-0174 Ph: (973) 364-2682 | Infectious Disease Associates 189 Eagle Rock Ave Roseland NJ 07068-1347 Ph: (973) 364-2682 |
| NPI Number | 1932252038 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932252038 | NPI | - | NPPES |
| 2836009 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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