| Clifton-wallington Medical Group | |
|
1033 Clifton Ave Suite 210 Clifton NJ 07013-3517 | |
| (973) 473-4400 | |
| (973) 473-6800 |
| Full Name | Clifton-wallington Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1033 Clifton Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Krystyna Szewczyk-szczech (OWNER/DIRECTOR) |
| Authorized Official Contact | 9734734400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifton-wallington Medical Group 1033 Clifton Ave Suite 210 Clifton NJ 07013-3517 Ph: (973) 473-4400 | Clifton-wallington Medical Group 1033 Clifton Ave Suite 210 Clifton NJ 07013-3517 Ph: (973) 473-4400 |
| NPI Number | 1548209315 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 02/22/2013 |
| Medicare PECOS PAC ID | 6103811211 |
|---|---|
| Medicare Enrollment ID | O20040419000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548209315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Krystyna H Szewczyk Szczech |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871532895 PECOS PAC ID: 7911942743 Enrollment ID: I20050622001101 |
| Provider Name | Urszula Bednarska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689080749 PECOS PAC ID: 2264756527 Enrollment ID: I20150115002123 |
| Provider Name | Urszula Poweska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811375710 PECOS PAC ID: 9931417649 Enrollment ID: I20150930000191 |
| Provider Name | Andriy Ilashuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942656285 PECOS PAC ID: 4284925629 Enrollment ID: I20170429000002 |
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