Kathrin S Serrao Md Llc | |
1033 Clifton Ave Suite 108 Clifton NJ 07013 | |
(973) 577-1995 | |
(973) 577-2711 |
Full Name | Kathrin S Serrao Md Llc |
---|---|
Speciality | Internal Medicine |
Location | 1033 Clifton Ave, Clifton, New Jersey |
Authorized Official Name and Position | Kathrin Sandra Serrao (OWNER) |
Authorized Official Contact | 9735771995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kathrin S Serrao Md Llc 1033 Clifton Ave Suite 108 Clifton NJ 07013 Ph: (973) 577-1995 | Kathrin S Serrao Md Llc 1033 Clifton Ave Suite 108 Clifton NJ 07013 Ph: (973) 577-1995 |
NPI Number | 1174230312 |
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Provider Enumeration Date | 10/27/2022 |
Last Update Date | 10/27/2022 |
Medicare PECOS PAC ID | 6305211202 |
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Medicare Enrollment ID | O20230406001582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174230312 | NPI | - | NPPES |
1386179620 | Other | NJ | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Kathrin Sandra Serrao |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1386179620 PECOS PAC ID: 9830462753 Enrollment ID: I20230406001747 |
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