| Empire Medical Ii, Llc | |
|
757 Mt. Prospect Avenue Newark NJ 07104-3220 | |
| (973) 350-9002 | |
| (973) 350-9009 |
| Full Name | Empire Medical Ii, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 757 Mt. Prospect Avenue, Newark, New Jersey |
| Authorized Official Name and Position | Benjamin Antonio Sabido (OWNER) |
| Authorized Official Contact | 9733509002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empire Medical Ii, Llc 1085 Franklin Lakes Road Franklin Lakes NJ 07417-1131 Ph: (973) 350-9002 | Empire Medical Ii, Llc 757 Mt. Prospect Avenue Newark NJ 07104-3220 Ph: (973) 350-9002 |
| NPI Number | 1871826230 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 11/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871826230 | NPI | - | NPPES |
| 0212776 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 25MA07696900 (New Jersey) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 25MA07696900 (New Jersey) | Secondary |
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