Hudson Neurosciences | |
1222 Kennedy Blvd Bayonne NJ 07002-9211 | |
(201) 339-6531 | |
(201) 339-6536 |
Full Name | Hudson Neurosciences |
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Speciality | Psychiatry & Neurology |
Location | 1222 Kennedy Blvd, Bayonne, New Jersey |
Authorized Official Name and Position | Gregory Dominick Anselmi (PRESIDENT) |
Authorized Official Contact | 2013396531 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hudson Neurosciences 1222 Kennedy Blvd Bayonne NJ 07002-9211 Ph: (201) 339-6531 | Hudson Neurosciences 1222 Kennedy Blvd Bayonne NJ 07002-9211 Ph: (201) 339-6531 |
NPI Number | 1720224207 |
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Provider Enumeration Date | 01/05/2009 |
Last Update Date | 01/05/2009 |
Medicare PECOS PAC ID | 2163601121 |
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Medicare Enrollment ID | O20110121000898 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720224207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Gregory D Anselmi |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1477697761 PECOS PAC ID: 6406035468 Enrollment ID: I20110131000921 |
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