| Nbimc-fp | |
|
201 Lyons Ave Newark NJ 07112-2027 | |
| (973) 926-7475 | |
| (973) 318-7207 |
| Full Name | Nbimc-fp |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Lyons Ave, Newark, New Jersey |
| Authorized Official Name and Position | Galina M Begun (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7325577119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nbimc-fp 201 Lyons Ave L5 Newark NJ 07112-2027 Ph: (732) 557-7119 | Nbimc-fp 201 Lyons Ave Newark NJ 07112-2027 Ph: (973) 926-7475 |
| NPI Number | 1902083793 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 01/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902083793 | NPI | - | NPPES |
| 02166003 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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