| Closter Internal Medicine, P.c. | |
|
15 Vervalen St Closter NJ 07624-2635 | |
| (201) 784-3600 | |
| (201) 784-5677 |
| Full Name | Closter Internal Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15 Vervalen St, Closter, New Jersey |
| Authorized Official Name and Position | Soo G. Lee (MD) |
| Authorized Official Contact | 2017843600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Closter Internal Medicine, P.c. 15 Ver Valen St Ste 2 Closter NJ 07624-2636 Ph: (201) 784-3600 | Closter Internal Medicine, P.c. 15 Vervalen St Closter NJ 07624-2635 Ph: (201) 784-3600 |
| NPI Number | 1467584284 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467584284 | NPI | - | NPPES |
| 9116508 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07426600 (New Jersey) | Primary |
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