Anna Chernyak, Md Llc | |
2401 Morris Ave Union NJ 07083-5745 | |
(908) 810-9330 | |
(908) 810-9323 |
Full Name | Anna Chernyak, Md Llc |
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Speciality | Clinic/Center |
Location | 2401 Morris Ave, Union, New Jersey |
Authorized Official Name and Position | Anna Chernyak (OWNER/PHYSICIAN) |
Authorized Official Contact | 9088109330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anna Chernyak, Md Llc 2401 Morris Ave Union NJ 07083-5745 Ph: (908) 810-9330 | Anna Chernyak, Md Llc 2401 Morris Ave Union NJ 07083-5745 Ph: (908) 810-9330 |
NPI Number | 1275973372 |
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Provider Enumeration Date | 07/03/2013 |
Last Update Date | 07/03/2013 |
Medicare PECOS PAC ID | 5294959870 |
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Medicare Enrollment ID | O20140623000977 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275973372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 25MA06605400 (New Jersey) | Primary |
Provider Name | Anna Chernyak |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558437665 PECOS PAC ID: 9830152610 Enrollment ID: I20041111000889 |
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