| Keystone Internal Medicine And Weight Loss Center Llc | |
|
255 West Spring Valley Ave Second Floor, Suite 200 Maywood NJ 07607 | |
| (201) 447-3690 | |
| Not Available |
| Full Name | Keystone Internal Medicine And Weight Loss Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 West Spring Valley Ave, Maywood, New Jersey |
| Authorized Official Name and Position | Pollytia Irene Panagiotou (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2014473690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Internal Medicine And Weight Loss Center Llc Po Box 1461 Ridgewood NJ 07451-1461 Ph: (201) 450-6044 | Keystone Internal Medicine And Weight Loss Center Llc 255 West Spring Valley Ave Second Floor, Suite 200 Maywood NJ 07607 Ph: (201) 447-3690 |
| NPI Number | 1871151118 |
|---|---|
| Provider Enumeration Date | 06/02/2019 |
| Last Update Date | 06/27/2019 |
| Medicare PECOS PAC ID | 3577892256 |
|---|---|
| Medicare Enrollment ID | O20190905000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871151118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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