| |
210 Malapardis Rd Ste 202, Cedar Knolls, NJ 07927-1121 | |
(973) 240-5000 | |
(973) 765-9366 |
Full Name | |
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Type | Facility |
Speciality | Internal Medicine |
Location | 210 Malapardis Rd Ste 202, Cedar Knolls, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336295419 | NPI | - | NPPES |
7886209 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | James J Soltis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831481381 PECOS PAC ID: 6103055306 Enrollment ID: I20140211000976 |
Mailing Address | Practice Location Address |
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210 Malapardis Rd Ste 202, Cedar Knolls, NJ 07927-1121 Ph: (973) 765-9413 | 210 Malapardis Rd Ste 202, Cedar Knolls, NJ 07927-1121 Ph: (973) 240-5000 |