| Bisan Medical Inc | |
|
1029 Main St 2nd Floor Paterson NJ 07503-2200 | |
| (973) 345-0444 | |
| (973) 345-0422 |
| Full Name | Bisan Medical Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1029 Main St, Paterson, New Jersey |
| Authorized Official Name and Position | Imad Saedeldine (PRESIDENT) |
| Authorized Official Contact | 9733450444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bisan Medical Inc 1029 Main St 2nd Floor Paterson NJ 07503-2200 Ph: (973) 345-0444 | Bisan Medical Inc 1029 Main St 2nd Floor Paterson NJ 07503-2200 Ph: (973) 345-0444 |
| NPI Number | 1245419365 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9537115829 |
|---|---|
| Medicare Enrollment ID | O20050330000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245419365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New Jersey) | Primary |
| Provider Name | Imad K Saedeldine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740227560 PECOS PAC ID: 4486600780 Enrollment ID: I20050330000368 |
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