| Carebridge Medical Group Nj Pc | |
|
101 Hudson St Fl 21 Jersey City NJ 07302-3929 | |
| (615) 436-9060 | |
| Not Available |
| Full Name | Carebridge Medical Group Nj Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Hudson St Fl 21, Jersey City, New Jersey |
| Authorized Official Name and Position | Melinda S Henderson (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6154369060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carebridge Medical Group Nj Pc 926 Main St Nashville TN 37206-3614 Ph: (615) 585-1181 | Carebridge Medical Group Nj Pc 101 Hudson St Fl 21 Jersey City NJ 07302-3929 Ph: (615) 436-9060 |
| NPI Number | 1386412203 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386412203 | NPI | - | NPPES |
| 0889814 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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