| Old Tappan Medical Group, Pa | |
|
215 Old Tappan Rd Old Tappan NJ 07675-7000 | |
| (201) 666-1000 | |
| (201) 666-7610 |
| Full Name | Old Tappan Medical Group, Pa |
|---|---|
| Speciality | Pediatrics |
| Location | 215 Old Tappan Rd, Old Tappan, New Jersey |
| Authorized Official Name and Position | Stephen G Varhol (PRESIDENT) |
| Authorized Official Contact | 2016661000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Tappan Medical Group, Pa 215 Old Tappan Rd Old Tappan NJ 07675-7000 Ph: (201) 666-1000 | Old Tappan Medical Group, Pa 215 Old Tappan Rd Old Tappan NJ 07675-7000 Ph: (201) 666-1000 |
| NPI Number | 1912916693 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912916693 | NPI | - | NPPES |
| 3695 | Other | AETNA CAPITATION NUMBER | |
| 2672901 | Medicaid | NJ | |
| 087710 | Other | AETNA CAPITATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Old Tappan Medical Group Dept Of Internal Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Old Tappan Rd, Old Tappan, NJ 07675 Phone: 201-666-1000 Fax: 201-666-7610 | |
Sensory Diagnostics And Pain Management Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 Old Tappan Rd Ste 2, Old Tappan, NJ 07675 Phone: 201-497-6612 |