| Internal Medicine & Geriatric Specialist Of North Jersey, Llc | |
|
2811 Kennedy Blvd North Bergen NJ 07047-2227 | |
| (201) 319-0008 | |
| (201) 319-0004 |
| Full Name | Internal Medicine & Geriatric Specialist Of North Jersey, Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 2811 Kennedy Blvd, North Bergen, New Jersey |
| Authorized Official Name and Position | Debi Smith (ACCOUNT EXECUTIVE) |
| Authorized Official Contact | 2013760770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine & Geriatric Specialist Of North Jersey, Llc 2811 Kennedy Blvd North Bergen NJ 07047-2227 Ph: (201) 319-0008 | Internal Medicine & Geriatric Specialist Of North Jersey, Llc 2811 Kennedy Blvd North Bergen NJ 07047-2227 Ph: (201) 319-0008 |
| NPI Number | 1538318795 |
|---|---|
| Provider Enumeration Date | 09/11/2008 |
| Last Update Date | 09/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538318795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 25MB07249800 (New Jersey) | Primary |
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