Associates In Infectious Disease, Pc | |
199 Broad St Suite 2c Bloomfield NJ 07003-2635 | |
(973) 748-4583 | |
(973) 748-3243 |
Full Name | Associates In Infectious Disease, Pc |
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Speciality | Internal Medicine |
Location | 199 Broad St, Bloomfield, New Jersey |
Authorized Official Name and Position | Terry Soroko (OWNER) |
Authorized Official Contact | 9737484583 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Associates In Infectious Disease, Pc 199 Broad St Suite 2c Bloomfield NJ 07003-2635 Ph: (973) 748-4583 | Associates In Infectious Disease, Pc 199 Broad St Suite 2c Bloomfield NJ 07003-2635 Ph: (973) 748-4583 |
NPI Number | 1619285863 |
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Provider Enumeration Date | 09/22/2010 |
Last Update Date | 09/22/2010 |
Medicare PECOS PAC ID | 8729277207 |
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Medicare Enrollment ID | O20110114000149 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619285863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Arturo Gurbuxani Pascual |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1740682624 PECOS PAC ID: 4284989906 Enrollment ID: I20200730002646 |
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