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200 S Orange Ave Livingston NJ 07039-5817 | |
| (973) 322-7430 | |
| (973) 322-7460 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 200 S Orange Ave, Livingston, New Jersey |
| Authorized Official Name and Position | Thomas J. Gibney (CHIEF FINANCIAL CENTER) |
| Authorized Official Contact | 9733227286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1050 Galloping Hill Rd Union NJ 07083-7983 Ph: (908) 206-2230 | 200 S Orange Ave Livingston NJ 07039-5817 Ph: (973) 322-7430 |
| NPI Number | 1699775460 |
|---|---|
| Provider Enumeration Date | 07/22/2005 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699775460 | NPI | - | NPPES |
| 8040401 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (New Jersey) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | (New Jersey) | Secondary |
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