| Serge I Kaftal, M.d | |
|
10 Anderson Hill Rd Bernardsville NJ 07924-2323 | |
| (908) 766-1223 | |
| Not Available |
| Full Name | Serge I Kaftal, M.d |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Anderson Hill Rd, Bernardsville, New Jersey |
| Authorized Official Name and Position | Serge Kaftal (OWNER) |
| Authorized Official Contact | 9732004407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serge I Kaftal, M.d 10 Anderson Hill Rd Bernardsville NJ 07924-2323 Ph: () - | Serge I Kaftal, M.d 10 Anderson Hill Rd Bernardsville NJ 07924-2323 Ph: (908) 766-1223 |
| NPI Number | 1972782902 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/26/2007 |
| Medicare PECOS PAC ID | 9739106188 |
|---|---|
| Medicare Enrollment ID | O20051102000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972782902 | NPI | - | NPPES |
| DD9664 | Other | NJ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA46768 (New Jersey) | Primary |
| Provider Name | Sergiusz I Kaftal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740204361 PECOS PAC ID: 2860440005 Enrollment ID: I20050105000115 |
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