| Internal Medicine Faculty Practice Associates At St Barnabas Med Ctr | |
|
101 Old Short Hills Rd Suite 210 West Orange NJ 07052-1000 | |
| (973) 322-6256 | |
| (973) 322-6241 |
| Full Name | Internal Medicine Faculty Practice Associates At St Barnabas Med Ctr |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Old Short Hills Rd, West Orange, New Jersey |
| Authorized Official Name and Position | Patrick Ahearn (DIRECTOR) |
| Authorized Official Contact | 7325577119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Faculty Practice Associates At St Barnabas Med Ctr Po Box 18313 Newark NJ 07191-8313 Ph: (732) 557-7160 | Internal Medicine Faculty Practice Associates At St Barnabas Med Ctr 101 Old Short Hills Rd Suite 210 West Orange NJ 07052-1000 Ph: (973) 322-6256 |
| NPI Number | 1114975257 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114975257 | NPI | - | NPPES |
| 6462901 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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