| Cathedral Faculty Practice | |
|
268 Dr. Martin Luther King Boulevard Newark NJ 07102-2094 | |
| (973) 877-5000 | |
| Not Available |
| Full Name | Cathedral Faculty Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 268 Dr. Martin Luther King Boulevard, Newark, New Jersey |
| Authorized Official Name and Position | Irvin Goldfarb (MANAGING PHYSICIAN) |
| Authorized Official Contact | 9738775000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cathedral Faculty Practice 66 W Gilbert St 2nd Floor Red Bank NJ 07701-4819 Ph: (732) 212-0051 | Cathedral Faculty Practice 268 Dr. Martin Luther King Boulevard Newark NJ 07102-2094 Ph: (973) 877-5000 |
| NPI Number | 1467636936 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467636936 | NPI | - | NPPES |
| G870739 | Other | NJ | OXFORD |
| CN9725 | Other | NJ | RAILROAD MEDICARE |
| 7007507 | Medicaid | NJ | |
| 1065131 | Other | NJ | HORIZON NJ HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (New Jersey) | Secondary |
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