| Caremed Plus P.c. | |
|
508 Hamburg Tpke Ste 107 Wayne NJ 07470-8482 | |
| (201) 297-9517 | |
| Not Available |
| Full Name | Caremed Plus P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 508 Hamburg Tpke Ste 107, Wayne, New Jersey |
| Authorized Official Name and Position | Alexander Ivanov (OWNER/OPERATOR) |
| Authorized Official Contact | 2012979517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caremed Plus P.c. 508 Hamburg Tpke Ste 107 Wayne NJ 07470-8482 Ph: (201) 297-9517 | Caremed Plus P.c. 508 Hamburg Tpke Ste 107 Wayne NJ 07470-8482 Ph: (201) 297-9517 |
| NPI Number | 1720637150 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720637150 | NPI | - | NPPES |
| 1689726374 | Medicaid | NJ | |
| 1790825222 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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