| Nj Bariatric Institute Llc | |
|
299 Madison Ave Morristown NJ 07960-6166 | |
| (860) 904-3096 | |
| (860) 288-8671 |
| Full Name | Nj Bariatric Institute Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 299 Madison Ave, Morristown, New Jersey |
| Authorized Official Name and Position | Nicholas A Bertha (OWNER) |
| Authorized Official Contact | 8609043096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Bariatric Institute Llc 299 Madison Ave Morristown NJ 07960-6166 Ph: (860) 904-3096 | Nj Bariatric Institute Llc 299 Madison Ave Morristown NJ 07960-6166 Ph: (860) 904-3096 |
| NPI Number | 1194063677 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 01/18/2013 |
| Medicare PECOS PAC ID | 9335385004 |
|---|---|
| Medicare Enrollment ID | O20130425000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194063677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | 25MB05719100 (New Jersey) | Primary |
| Provider Name | Nicholas A Bertha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598749020 PECOS PAC ID: 2365338852 Enrollment ID: I20101020000504 |
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