| Bayway Medical Center Llc | |
|
636 Bayway Ave Elizabeth NJ 07202 | |
| (908) 994-1900 | |
| (908) 994-0900 |
| Full Name | Bayway Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 636 Bayway Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Antonio P Apigo (DIRECTOR) |
| Authorized Official Contact | 9089941900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayway Medical Center Llc 636 Bayway Ave Elizabeth NJ 07202 Ph: (908) 994-1900 | Bayway Medical Center Llc 636 Bayway Ave Elizabeth NJ 07202 Ph: (908) 994-1900 |
| NPI Number | 1619128410 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 12/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619128410 | NPI | - | NPPES |
| 0180980 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07629400 (New Jersey) | Primary |
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