| Onyx Health Group Llc | |
|
105 Union Street Lodi NJ 07644 | |
| (973) 365-1000 | |
| (888) 627-6426 |
| Full Name | Onyx Health Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 105 Union Street, Lodi, New Jersey |
| Authorized Official Name and Position | Alexander Goldstein (OWNER) |
| Authorized Official Contact | 9733651000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onyx Health Group Llc 105 Union Street Lodi NJ 07644 Ph: (973) 365-1000 | Onyx Health Group Llc 105 Union Street Lodi NJ 07644 Ph: (973) 365-1000 |
| NPI Number | 1487373676 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Medicare PECOS PAC ID | 1850757014 |
|---|---|
| Medicare Enrollment ID | O20230515002100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487373676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Alexander Goldstein |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285031930 PECOS PAC ID: 2769848928 Enrollment ID: I20230515002652 |
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