| Cgganjhos Llc | |
|
8 Glenbrook Dr Park Ridge NJ 07656-1808 | |
| (845) 596-3760 | |
| Not Available |
| Full Name | Cgganjhos Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8 Glenbrook Dr, Park Ridge, New Jersey |
| Authorized Official Name and Position | Erik Svensson (MD) |
| Authorized Official Contact | 8455963760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cgganjhos Llc 8 Glenbrook Dr Park Ridge NJ 07656-1808 Ph: () - | Cgganjhos Llc 8 Glenbrook Dr Park Ridge NJ 07656-1808 Ph: (845) 596-3760 |
| NPI Number | 1649019258 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Medicare PECOS PAC ID | 4981046489 |
|---|---|
| Medicare Enrollment ID | O20240530000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649019258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Erik D Svensson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770879371 PECOS PAC ID: 7012215783 Enrollment ID: I20190312000797 |
Dr. Mark Schwartz, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Chelsea Manor, Park Ridge, NJ 07656 Phone: 201-819-8049 Fax: 201-746-0950 |