Id Careguard | |
255 W Spring Valley Ave Suite 200 Maywood NJ 07607-1445 | |
(201) 343-2778 | |
(201) 343-1990 |
Full Name | Id Careguard |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 255 W Spring Valley Ave, Maywood, New Jersey |
Authorized Official Name and Position | Eugene Carter French (PRESIDENT) |
Authorized Official Contact | 2013432778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Id Careguard 255 W Spring Valley Ave Suite 200 Maywood NJ 07607-1445 Ph: (201) 343-2778 | Id Careguard 255 W Spring Valley Ave Suite 200 Maywood NJ 07607-1445 Ph: (201) 343-2778 |
NPI Number | 1215971528 |
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Provider Enumeration Date | 06/16/2006 |
Last Update Date | 07/24/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215971528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | MA058436 (New Jersey) | Primary |
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