| Jennifer R Peos Md Llc | |
|
349 E Northfield Rd Suite 210 Livingston NJ 07039-4802 | |
| (973) 597-1107 | |
| (973) 597-1407 |
| Full Name | Jennifer R Peos Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 349 E Northfield Rd, Livingston, New Jersey |
| Authorized Official Name and Position | Jennifer R Peos (OWNER) |
| Authorized Official Contact | 9735971107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer R Peos Md Llc 349 E Northfield Rd Suite 210 Livingston NJ 07039-4802 Ph: (973) 597-1107 | Jennifer R Peos Md Llc 349 E Northfield Rd Suite 210 Livingston NJ 07039-4802 Ph: (973) 597-1107 |
| NPI Number | 1922432061 |
|---|---|
| Provider Enumeration Date | 08/26/2013 |
| Last Update Date | 06/03/2016 |
| Medicare PECOS PAC ID | 1658509005 |
|---|---|
| Medicare Enrollment ID | O20140111000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922432061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA068460 (New Jersey) | Primary |
| Provider Name | Jennifer R Peos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710986195 PECOS PAC ID: 2961422241 Enrollment ID: I20051201000322 |
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