| James V Agresti Do Llc | |
|
181 Franklin Ave Ste 201 Nutley NJ 07110-3820 | |
| (973) 284-0777 | |
| Not Available |
| Full Name | James V Agresti Do Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 181 Franklin Ave, Nutley, New Jersey |
| Authorized Official Name and Position | James V Agresti (OWNER) |
| Authorized Official Contact | 9732840777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James V Agresti Do Llc 181 Franklin Ave Ste 201 Nutley NJ 07110-3820 Ph: (973) 284-0777 | James V Agresti Do Llc 181 Franklin Ave Ste 201 Nutley NJ 07110-3820 Ph: (973) 284-0777 |
| NPI Number | 1275918666 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Medicare PECOS PAC ID | 4385959519 |
|---|---|
| Medicare Enrollment ID | O20150818004556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275918666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MB02312400 (New Jersey) | Primary |
| Provider Name | James V Agresti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578511135 PECOS PAC ID: 7618872201 Enrollment ID: I20080221000394 |
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