| North Jersey Diabetes & Endocrinology, P.a. | |
|
24-07 Broadway Fair Lawn NJ 07410-3053 | |
| (201) 796-4600 | |
| (201) 796-4666 |
| Full Name | North Jersey Diabetes & Endocrinology, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 24-07 Broadway, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Merab Joseph (PRESIDENT) |
| Authorized Official Contact | 2017964600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Jersey Diabetes & Endocrinology, P.a. 24-07 Broadway Fair Lawn NJ 07410-3053 Ph: (201) 796-4600 | North Jersey Diabetes & Endocrinology, P.a. 24-07 Broadway Fair Lawn NJ 07410-3053 Ph: (201) 796-4600 |
| NPI Number | 1013160217 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 11/17/2008 |
| Medicare PECOS PAC ID | 0143389221 |
|---|---|
| Medicare Enrollment ID | O20081104000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013160217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 25MA07861800 (New Jersey) | Primary |
| Provider Name | Merab I Joseph |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053421032 PECOS PAC ID: 1951396993 Enrollment ID: I20060223000500 |
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