| International Id Associates Llc | |
|
5 Franklin Ave Ste 103 Belleville NJ 07109 | |
| (973) 751-3399 | |
| Not Available |
| Full Name | International Id Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Franklin Ave, Belleville, New Jersey |
| Authorized Official Name and Position | Edward S Johnson (PRESIDENT) |
| Authorized Official Contact | 9737598700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| International Id Associates Llc 1050 Wall St W Ste 360 Lyndhurst NJ 07071-3604 Ph: () - | International Id Associates Llc 5 Franklin Ave Ste 103 Belleville NJ 07109 Ph: (973) 751-3399 |
| NPI Number | 1134188162 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 01/17/2019 |
| Medicare PECOS PAC ID | 8123076882 |
|---|---|
| Medicare Enrollment ID | O20050110000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134188162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Edward S Johnson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184699290 PECOS PAC ID: 0143216945 Enrollment ID: I20040426000065 |
| Provider Name | Donald J Beggs |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699749119 PECOS PAC ID: 3173510864 Enrollment ID: I20040426001575 |
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