| Robert W. Boyajian, Md, Pa | |
|
255 Route 3 East Suite 203 Secaucus NJ 07094 | |
| (201) 865-3100 | |
| (201) 865-8311 |
| Full Name | Robert W. Boyajian, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 Route 3 East Suite 203, Secaucus, New Jersey |
| Authorized Official Name and Position | Robert W Boyajian (PRESIDENT) |
| Authorized Official Contact | 2018653100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W. Boyajian, Md, Pa 255 Route 3 East Suite 203 Secaucus NJ 07094 Ph: (201) 865-3100 | Robert W. Boyajian, Md, Pa 255 Route 3 East Suite 203 Secaucus NJ 07094 Ph: (201) 865-3100 |
| NPI Number | 1154626117 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 01/21/2011 |
| Medicare PECOS PAC ID | 6608059480 |
|---|---|
| Medicare Enrollment ID | O20110401000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154626117 | NPI | - | NPPES |
| 5093902 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04902400 (New Jersey) | Primary |
| Provider Name | Robert W Boyajian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174547426 PECOS PAC ID: 4688857469 Enrollment ID: I20110401000107 |
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