| Dr. Anchipolovsky Pa | |
|
119 Gordon Ct Oradell NJ 07649-2415 | |
| (201) 967-1928 | |
| Not Available |
| Full Name | Dr. Anchipolovsky Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 119 Gordon Ct, Oradell, New Jersey |
| Authorized Official Name and Position | Natalia Anchipolovsky (PRESIDENT) |
| Authorized Official Contact | 2019671928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Anchipolovsky Pa 119 Gordon Ct Oradell NJ 07649-2415 Ph: () - | Dr. Anchipolovsky Pa 119 Gordon Ct Oradell NJ 07649-2415 Ph: (201) 967-1928 |
| NPI Number | 1396922886 |
|---|---|
| Provider Enumeration Date | 01/27/2008 |
| Last Update Date | 06/02/2008 |
| Medicare PECOS PAC ID | 1557430659 |
|---|---|
| Medicare Enrollment ID | O20080515000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396922886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 25MB07834800 (New Jersey) | Primary |
| Provider Name | Natalia Anchipolovsky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982725024 PECOS PAC ID: 0042301103 Enrollment ID: I20070806000014 |
| Provider Name | Irina Gavdanovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780103580 PECOS PAC ID: 5799044004 Enrollment ID: I20191226000634 |
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