| Metrohealth, Llc | |
|
751 Teaneck Rd Teaneck NJ 07666-4242 | |
| (201) 837-3200 | |
| Not Available |
| Full Name | Metrohealth, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 751 Teaneck Rd, Teaneck, New Jersey |
| Authorized Official Name and Position | Peter W Coppola (PARTNER) |
| Authorized Official Contact | 2018373200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metrohealth, Llc 751 Teaneck Rd Teaneck NJ 07666-4242 Ph: (201) 837-3200 | Metrohealth, Llc 751 Teaneck Rd Teaneck NJ 07666-4242 Ph: (201) 837-3200 |
| NPI Number | 1568580280 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4688566938 |
|---|---|
| Medicare Enrollment ID | O20040330000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568580280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward L Hedlund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386668622 PECOS PAC ID: 3971575564 Enrollment ID: I20060117000723 |
| Provider Name | Joseph P Cassotta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093870776 PECOS PAC ID: 4981676574 Enrollment ID: I20101021001270 |
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