| East Orange General Hospital | |
|
300 Central Ave East Orange NJ 07018-2819 | |
| (973) 672-8400 | |
| Not Available |
| Full Name | East Orange General Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 300 Central Ave, East Orange, New Jersey |
| Authorized Official Name and Position | Rafael Ramos (SR. DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 9739608561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Orange General Hospital 300 Central Avenue East Orange NJ 07018-2819 Ph: (973) 414-3473 | East Orange General Hospital 300 Central Ave East Orange NJ 07018-2819 Ph: (973) 672-8400 |
| NPI Number | 1659740785 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Medicare PECOS PAC ID | 4082009717 |
|---|---|
| Medicare Enrollment ID | O20220316002569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659740785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 10704 (New Jersey) | Primary |
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