| Cranford Family Practice | |
|
123 N Union Ave Suite 204 Cranford NJ 07016-2198 | |
| (908) 272-7990 | |
| (908) 272-7970 |
| Full Name | Cranford Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 123 N Union Ave, Cranford, New Jersey |
| Authorized Official Name and Position | Robert Eidus (PRESIDENT) |
| Authorized Official Contact | 9082727990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cranford Family Practice 123 N Union Ave Suite 204 Cranford NJ 07016-2198 Ph: () - | Cranford Family Practice 123 N Union Ave Suite 204 Cranford NJ 07016-2198 Ph: (908) 272-7990 |
| NPI Number | 1851483655 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284635129 |
|---|---|
| Medicare Enrollment ID | O20070120000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851483655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA03034900 (New Jersey) | Primary |
| Provider Name | Robert Eidus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215901871 PECOS PAC ID: 9830147156 Enrollment ID: I20050104000304 |
| Provider Name | Matthew E Giangrante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427200245 PECOS PAC ID: 3779636899 Enrollment ID: I20090806000265 |
| Provider Name | Sarah J Wistreich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518237452 PECOS PAC ID: 8921264623 Enrollment ID: I20120725000127 |
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