| Ed Medical Associates, Inc | |
|
140 Grand Ave Englewood NJ 07631-6581 | |
| (201) 569-9010 | |
| (201) 541-7942 |
| Full Name | Ed Medical Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 140 Grand Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Eli Djebiyan (OWNER) |
| Authorized Official Contact | 2015699010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ed Medical Associates, Inc 140 Grand Ave Englewood NJ 07631-6581 Ph: (201) 569-9010 | Ed Medical Associates, Inc 140 Grand Ave Englewood NJ 07631-6581 Ph: (201) 569-9010 |
| NPI Number | 1245695766 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 12/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245695766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA068121 (New Jersey) | Primary |
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