Bergen Infectious Diseases Associates Inc | |
185 Cedar Ln Ste U8 Teaneck NJ 07666-4303 | |
(201) 300-2768 | |
(973) 358-8343 |
Full Name | Bergen Infectious Diseases Associates Inc |
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Speciality | Internal Medicine |
Location | 185 Cedar Ln Ste U8, Teaneck, New Jersey |
Authorized Official Name and Position | Erina Khadka Kunwar (PHYSICIAN) |
Authorized Official Contact | 2013002768 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bergen Infectious Diseases Associates Inc 110 Chestnut Ridge Rd # 337 Montvale NJ 07645-1706 Ph: (201) 300-2768 | Bergen Infectious Diseases Associates Inc 185 Cedar Ln Ste U8 Teaneck NJ 07666-4303 Ph: (201) 300-2768 |
NPI Number | 1588224018 |
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Provider Enumeration Date | 06/17/2019 |
Last Update Date | 06/17/2019 |
Medicare PECOS PAC ID | 6002142171 |
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Medicare Enrollment ID | O20190726001246 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588224018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Erina Khadka Kunwar |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1043568488 PECOS PAC ID: 6800116112 Enrollment ID: I20150527001651 |
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