| Aliona Rudys Md Internal Medicine Llc | |
|
19-21 Fair Lawn Ave Fair Lawn NJ 07410-2331 | |
| (201) 475-4091 | |
| Not Available |
| Full Name | Aliona Rudys Md Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19-21 Fair Lawn Ave, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Aliona Rudys (OWNER) |
| Authorized Official Contact | 2014754091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aliona Rudys Md Internal Medicine Llc Po Box 93 Fair Lawn NJ 07410-0093 Ph: (201) 475-4091 | Aliona Rudys Md Internal Medicine Llc 19-21 Fair Lawn Ave Fair Lawn NJ 07410-2331 Ph: (201) 475-4091 |
| NPI Number | 1972748580 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 12/10/2008 |
| Medicare PECOS PAC ID | 9032262217 |
|---|---|
| Medicare Enrollment ID | O20090916000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972748580 | NPI | - | NPPES |
| 8004501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA68840 (New Jersey) | Primary |
| Provider Name | Aliona Rudys |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720057540 PECOS PAC ID: 1850388869 Enrollment ID: I20040429001141 |
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