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123 N Union Ave Suite 204 Cranford NJ 07016-2198 | |
| (908) 272-7990 | |
| (908) 272-7970 |
| Full Name | |
|---|---|
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
123 N Union Ave Suite 204 Cranford NJ 07016-2198 Ph: () - | 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851483655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA03034900 (New Jersey) | Primary |
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