| Bloomfield Health Pavilion Llc | |
|
86 Bloomfield Ave 1st Floor & Basement Newark NJ 07104-1905 | |
| (973) 230-3631 | |
| (973) 230-3474 |
| Full Name | Bloomfield Health Pavilion Llc |
|---|---|
| Speciality | Nurse Practitioner - Primary Care |
| Location | 86 Bloomfield Ave, Newark, New Jersey |
| Authorized Official Name and Position | Rostislav Vilshteyn (CEO) |
| Authorized Official Contact | 7188134556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomfield Health Pavilion Llc 86 Bloomfield Ave 1st Floor & Basement Newark NJ 07104-1905 Ph: (973) 230-3631 | Bloomfield Health Pavilion Llc 86 Bloomfield Ave 1st Floor & Basement Newark NJ 07104-1905 Ph: (973) 230-3631 |
| NPI Number | 1598781973 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598781973 | NPI | - | NPPES |
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