Dc Medical Care Llc | |
19-21 Fair Lawn Ave Fair Lawn NJ 07410-2331 | |
(201) 475-9421 | |
Not Available |
Full Name | Dc Medical Care Llc |
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Speciality | Internal Medicine |
Location | 19-21 Fair Lawn Ave, Fair Lawn, New Jersey |
Authorized Official Name and Position | Dana Cernea (PRESIDENT) |
Authorized Official Contact | 2014759421 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dc Medical Care Llc 19-21 Fair Lawn Ave Fair Lawn NJ 07410-2331 Ph: (201) 475-9421 | Dc Medical Care Llc 19-21 Fair Lawn Ave Fair Lawn NJ 07410-2331 Ph: (201) 475-9421 |
NPI Number | 1790019206 |
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Provider Enumeration Date | 09/30/2009 |
Last Update Date | 12/13/2011 |
Medicare PECOS PAC ID | 6800061102 |
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Medicare Enrollment ID | O20111215000443 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790019206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA056496 (New Jersey) | Primary |
Provider Name | Dana Cernea |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699877084 PECOS PAC ID: 6406769116 Enrollment ID: I20031110000166 |
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