Sospeter Obiero, APN | |
613 Park Ave, East Orange, NJ 07017-1905 | |
(973) 676-0955 | |
Not Available |
Full Name | Sospeter Obiero |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 613 Park Ave, East Orange, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265567788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 26NJ00121700 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Valley Hospital | Ridgewood, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Preventive And Diagonostic Medical Center P.a. | 2365410206 | 3 |
Entity Name | Preventive And Diagonostic Medical Center P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679650105 PECOS PAC ID: 2365410206 Enrollment ID: O20080902000008 |
Mailing Address | Practice Location Address |
---|---|
Sospeter Obiero, APN 613 Park Ave, East Orange, NJ 07017-1905 Ph: (973) 676-0955 | Sospeter Obiero, APN 613 Park Ave, East Orange, NJ 07017-1905 Ph: (973) 676-0955 |
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