| Haskell Towne Medical, Llc | |
|
1141 Ringwood Ave Suite 7 Haskell NJ 07420-1565 | |
| (973) 835-6777 | |
| Not Available |
| Full Name | Haskell Towne Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1141 Ringwood Ave, Haskell, New Jersey |
| Authorized Official Name and Position | Jeffrey Todd Smith (PHYSICIAN, OWNER) |
| Authorized Official Contact | 9738356777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haskell Towne Medical, Llc 1141 Ringwood Ave Suite 7 Haskell NJ 07420-1565 Ph: (973) 835-6777 | Haskell Towne Medical, Llc 1141 Ringwood Ave Suite 7 Haskell NJ 07420-1565 Ph: (973) 835-6777 |
| NPI Number | 1497948665 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 10/07/2015 |
| Medicare PECOS PAC ID | 9830284298 |
|---|---|
| Medicare Enrollment ID | O20070929000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497948665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MB07737100 (New Jersey) | Primary |
| Provider Name | Jeffrey T Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659366904 PECOS PAC ID: 3971539537 Enrollment ID: I20050816000706 |
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