| Integrated Medical Center Of Bayonne,llc | |
|
449 Avenue C Bayonne NJ 07002-5105 | |
| (201) 823-2334 | |
| (201) 823-2344 |
| Full Name | Integrated Medical Center Of Bayonne,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 449 Avenue C, Bayonne, New Jersey |
| Authorized Official Name and Position | Juanita Jenyons (OFFICER) |
| Authorized Official Contact | 9179911220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Center Of Bayonne,llc 42 Quarry Dr West Paterson NJ 07424-4201 Ph: (917) 991-1220 | Integrated Medical Center Of Bayonne,llc 449 Avenue C Bayonne NJ 07002-5105 Ph: (201) 823-2334 |
| NPI Number | 1417185711 |
|---|---|
| Provider Enumeration Date | 06/24/2009 |
| Last Update Date | 07/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417185711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA0033221 (New Jersey) | Primary |
| 207V00000X | Obstetrics & Gynecology | 25MA08448100 (New Jersey) | Secondary |
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