Advanced Internal Medicine Of North Jersey, Llc | |
1680 Route 23 Ste 23 Wayne NJ 07470-7520 | |
(973) 831-9222 | |
Not Available |
Full Name | Advanced Internal Medicine Of North Jersey, Llc |
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Speciality | Internal Medicine |
Location | 1680 Route 23 Ste 23, Wayne, New Jersey |
Authorized Official Name and Position | Zhanna Branovan (MANAGING PARTNER) |
Authorized Official Contact | 9738319222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Internal Medicine Of North Jersey, Llc 1680 Route 23 Ste 310 Wayne NJ 07470-7520 Ph: (973) 831-9222 | Advanced Internal Medicine Of North Jersey, Llc 1680 Route 23 Ste 23 Wayne NJ 07470-7520 Ph: (973) 831-9222 |
NPI Number | 1386878833 |
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Provider Enumeration Date | 05/13/2009 |
Last Update Date | 12/14/2018 |
Medicare PECOS PAC ID | 4082768973 |
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Medicare Enrollment ID | O20090811000646 |
Identifier | Type | State | Issuer |
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1386878833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MA69612 (New Jersey) | Primary |
Provider Name | Libby Joffe |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831199645 PECOS PAC ID: 8820039035 Enrollment ID: I20070117000487 |
Provider Name | Zhanna E Branovan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881657328 PECOS PAC ID: 1355495698 Enrollment ID: I20090820000736 |
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