| Moukdad Medical LLC | |
|
6725 Columbia Ave North Bergen NJ 07047-5696 | |
| (201) 691-7234 | |
| Not Available |
| Full Name | Moukdad Medical LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6725 Columbia Ave, North Bergen, New Jersey |
| Authorized Official Name and Position | Amanda Marchione (OWNER) |
| Authorized Official Contact | 2014223111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moukdad Medical LLC 6725 Columbia Ave North Bergen NJ 07047-5696 Ph: (201) 422-3111 | Moukdad Medical LLC 6725 Columbia Ave North Bergen NJ 07047-5696 Ph: (201) 691-7234 |
| NPI Number | 1477430239 |
|---|---|
| Provider Enumeration Date | 08/21/2025 |
| Last Update Date | 05/23/2026 |
| Certification Date | 05/23/2026 |
| Medicare PECOS PAC ID | 5193217065 |
|---|---|
| Medicare Enrollment ID | O20251126004149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477430239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Amanda Moukdad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326605528 PECOS PAC ID: 5193109700 Enrollment ID: I20230227000403 |
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