| Martin D. Schlakman, M.d. Llc | |
|
1109 Amboy Ave Edison NJ 08837-2877 | |
| (732) 549-2220 | |
| (732) 603-0673 |
| Full Name | Martin D. Schlakman, M.d. Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1109 Amboy Ave, Edison, New Jersey |
| Authorized Official Name and Position | Lois Bonanno (SECRETARY) |
| Authorized Official Contact | 7325492220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin D. Schlakman, M.d. Llc 1109 Amboy Ave Edison NJ 08837-2877 Ph: (732) 549-2220 | Martin D. Schlakman, M.d. Llc 1109 Amboy Ave Edison NJ 08837-2877 Ph: (732) 549-2220 |
| NPI Number | 1689183311 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8820357270 |
|---|---|
| Medicare Enrollment ID | O20180111000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689183311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 25MAO6566600 (New Jersey) | Primary |
| Provider Name | Martin D Schlakman |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1144413873 PECOS PAC ID: 7810060910 Enrollment ID: I20080723000338 |
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