Firstline Health Llc | |
905 Elizabeth Ave Elizabeth NJ 07201-2710 | |
(908) 591-6124 | |
(908) 352-0012 |
Full Name | Firstline Health Llc |
---|---|
Speciality | Internal Medicine |
Location | 905 Elizabeth Ave, Elizabeth, New Jersey |
Authorized Official Name and Position | Isaac K Soliman (PRESIDENT) |
Authorized Official Contact | 9089649355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Firstline Health Llc 905 Elizabeth Ave Elizabeth NJ 07201-2710 Ph: (908) 591-6124 | Firstline Health Llc 905 Elizabeth Ave Elizabeth NJ 07201-2710 Ph: (908) 591-6124 |
NPI Number | 1295469369 |
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Provider Enumeration Date | 07/13/2022 |
Last Update Date | 09/21/2023 |
Medicare PECOS PAC ID | 5395128052 |
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Medicare Enrollment ID | O20220815000010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295469369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Provider Name | Isaac K Soliman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760876767 PECOS PAC ID: 4183977671 Enrollment ID: I20181031000418 |
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