| Mpv New Jersey MD Services PC | |
|
1355 Broad St Clifton NJ 07013-4221 | |
| (973) 778-5566 | |
| Not Available |
| Full Name | Mpv New Jersey MD Services PC |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 1355 Broad St, Clifton, New Jersey |
| Authorized Official Name and Position | Stephen C. Petrovich (EVP GENERAL COUNSEL) |
| Authorized Official Contact | 6152963594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpv New Jersey MD Services PC 1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 | Mpv New Jersey MD Services PC 1355 Broad St Clifton NJ 07013-4221 Ph: (973) 778-5566 |
| NPI Number | 1083360002 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083360002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Primary |
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