| Central Physician Services, P.a. | |
|
300 Central Ave East Orange NJ 07018-2819 | |
| (973) 672-8400 | |
| Not Available |
| Full Name | Central Physician Services, P.a. |
|---|---|
| Speciality | General Practice |
| Location | 300 Central Ave, East Orange, New Jersey |
| Authorized Official Name and Position | Duane J Dyson (PRESIDENT) |
| Authorized Official Contact | 7322120051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Physician Services, P.a. 66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4947 Ph: (732) 212-0051 | Central Physician Services, P.a. 300 Central Ave East Orange NJ 07018-2819 Ph: (973) 672-8400 |
| NPI Number | 1881891307 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881891307 | NPI | - | NPPES |
| 02040857 | Other | NJ | NY MEDICAID |
| 7735405 | Medicaid | NJ | |
| 1137829 | Other | NJ | HORIZON NJ HEALTH |
| CI1325 & DB1263 | Other | NJ | RAILROAD MEDICARE |
| G985557 | Other | NJ | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (New Jersey) | Primary |
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