| Integrated Medical Services Pc | |
|
583 Broadway 2nd Floor Paterson NJ 07514-2517 | |
| (973) 653-5686 | |
| Not Available |
| Full Name | Integrated Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 583 Broadway, Paterson, New Jersey |
| Authorized Official Name and Position | James R Clifford (DIRECTOR) |
| Authorized Official Contact | 9736535686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Services Pc 583 Broadway 2nd Floor Paterson NJ 07514-2517 Ph: (973) 653-5686 | Integrated Medical Services Pc 583 Broadway 2nd Floor Paterson NJ 07514-2517 Ph: (973) 653-5686 |
| NPI Number | 1861826919 |
|---|---|
| Provider Enumeration Date | 08/26/2013 |
| Last Update Date | 08/26/2013 |
| Medicare PECOS PAC ID | 4688802309 |
|---|---|
| Medicare Enrollment ID | O20140102000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861826919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nelson Radames Pichardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720110547 PECOS PAC ID: 8022070119 Enrollment ID: I20041101000664 |
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