| Promed Preferred Nj 2 Pc | |
|
125 Madison St Boonton NJ 07005-2153 | |
| (844) 776-6332 | |
| Not Available |
| Full Name | Promed Preferred Nj 2 Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 125 Madison St, Boonton, New Jersey |
| Authorized Official Name and Position | Lev Grinman (CO-OWNER) |
| Authorized Official Contact | 8447766332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred Nj 2 Pc 4 Legends Cir Melville NY 11747-5302 Ph: () - | Promed Preferred Nj 2 Pc 125 Madison St Boonton NJ 07005-2153 Ph: (844) 776-6332 |
| NPI Number | 1942075346 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942075346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Scaduto & Renz Mds- Primary Care Partners Affiliate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 W Main St, Suite 3, Boonton, NJ 07005 Phone: 973-335-8656 | |
Synergy Chiropractic Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Madison St, Boonton, NJ 07005 Phone: 973-917-8451 | |
Philip M Scaduto Md Patricia M Renz Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 W Main St, Boonton, NJ 07005 Phone: 973-335-8656 Fax: 973-335-8986 |