| Internal Medicine Of Totowa Llc | |
|
426 Union Blvd Totowa NJ 07512-2562 | |
| (973) 595-8400 | |
| (973) 595-8501 |
| Full Name | Internal Medicine Of Totowa Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 426 Union Blvd, Totowa, New Jersey |
| Authorized Official Name and Position | Marzena Odorczuk (SOLE MEMBER) |
| Authorized Official Contact | 9735958400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Totowa Llc 426 Union Blvd Totowa NJ 07512-2562 Ph: (973) 595-8400 | Internal Medicine Of Totowa Llc 426 Union Blvd Totowa NJ 07512-2562 Ph: (973) 595-8400 |
| NPI Number | 1811245913 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/21/2012 |
| Medicare PECOS PAC ID | 0446409312 |
|---|---|
| Medicare Enrollment ID | O20121009000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811245913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06967300 (New Jersey) | Primary |
| Provider Name | Marzena Odorczuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427153527 PECOS PAC ID: 7012805021 Enrollment ID: I20040310000120 |
| Provider Name | Lisa Shindle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013915412 PECOS PAC ID: 9537188891 Enrollment ID: I20091218000103 |
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