| Edward Laub Md Llc | |
|
2053 Klockner Rd Trenton NJ 08690-3413 | |
| (609) 586-8996 | |
| (609) 586-1579 |
| Full Name | Edward Laub Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2053 Klockner Rd, Trenton, New Jersey |
| Authorized Official Name and Position | Eun Kyung Huh (SUPERVISOR) |
| Authorized Official Contact | 6095868996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Laub Md Llc 2053 Klockner Rd Trenton NJ 08690-3413 Ph: (609) 586-8996 | Edward Laub Md Llc 2053 Klockner Rd Trenton NJ 08690-3413 Ph: (609) 586-8996 |
| NPI Number | 1437764859 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 09/13/2020 |
| Medicare PECOS PAC ID | 7214342823 |
|---|---|
| Medicare Enrollment ID | O20210212000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437764859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward B Laub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215974902 PECOS PAC ID: 6901794569 Enrollment ID: I20051004000115 |
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