Alafia Medical Associates Llc | |
88 High St Montclair NJ 07042-2415 | |
(732) 545-2657 | |
Not Available |
Full Name | Alafia Medical Associates Llc |
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Speciality | Internal Medicine |
Location | 88 High St, Montclair, New Jersey |
Authorized Official Name and Position | Karen Stephenson (OWNER) |
Authorized Official Contact | 7325452657 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alafia Medical Associates Llc 88 High St Montclair NJ 07042-2415 Ph: () - | Alafia Medical Associates Llc 88 High St Montclair NJ 07042-2415 Ph: (732) 545-2657 |
NPI Number | 1295332831 |
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Provider Enumeration Date | 10/07/2020 |
Last Update Date | 10/07/2020 |
Medicare PECOS PAC ID | 3476961590 |
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Medicare Enrollment ID | O20210409000027 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295332831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Karen R Stephenson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770531873 PECOS PAC ID: 1254387384 Enrollment ID: I20090605000512 |
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