| Pande V. Josifoski, M.d., L.l.c. | |
|
123 Highland Ave Suite 203 Glen Ridge NJ 07028-1527 | |
| (973) 748-0678 | |
| (973) 748-2808 |
| Full Name | Pande V. Josifoski, M.d., L.l.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 123 Highland Ave, Glen Ridge, New Jersey |
| Authorized Official Name and Position | Maria Palacios (MEDICAL ASSISTANT) |
| Authorized Official Contact | 9737480678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pande V. Josifoski, M.d., L.l.c. 123 Highland Ave Suite 203 Glen Ridge NJ 07028-1527 Ph: (973) 748-0678 | Pande V. Josifoski, M.d., L.l.c. 123 Highland Ave Suite 203 Glen Ridge NJ 07028-1527 Ph: (973) 748-0678 |
| NPI Number | 1053631846 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 06/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053631846 | NPI | - | NPPES |
| 1D1696904 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA02629900 (New Jersey) | Primary |
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