| Larisa Gershman Medical Center Pc | |
|
191 Hamburg Tpke Ste 2b Pompton Lakes NJ 07442-2332 | |
| (973) 248-9446 | |
| (973) 248-9445 |
| Full Name | Larisa Gershman Medical Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 191 Hamburg Tpke Ste 2b, Pompton Lakes, New Jersey |
| Authorized Official Name and Position | Larisa K Gershman (PRESIDENT) |
| Authorized Official Contact | 9732489446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larisa Gershman Medical Center Pc 191 Hamburg Tpke Ste 2b Pompton Lakes NJ 07442-2332 Ph: (973) 248-9446 | Larisa Gershman Medical Center Pc 191 Hamburg Tpke Ste 2b Pompton Lakes NJ 07442-2332 Ph: (973) 248-9446 |
| NPI Number | 1174715817 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 10/24/2007 |
| Medicare PECOS PAC ID | 6901842285 |
|---|---|
| Medicare Enrollment ID | O20050708000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174715817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07011700 (New Jersey) | Primary |
| Provider Name | Larisa K Gershman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447223201 PECOS PAC ID: 7618925926 Enrollment ID: I20050104000238 |
Four Directions Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Ramapo Ave, Pompton Lakes, NJ 07442 Phone: 973-858-8163 Fax: 862-666-1074 | |
Activelife Regenerative Therapies Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Wanaque Ave, Pompton Lakes, NJ 07442 Phone: 973-997-0542 Fax: 973-831-6763 | |
Medical Associates Of North Jersey,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Wanaque Ave, Pompton Lakes, NJ 07442 Phone: 973-839-3333 Fax: 973-839-0580 | |
Borough Of Pompton Lakes Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Lenox Ave., Pompton Lakes, NJ 07442 Phone: 973-835-0143 Fax: 973-839-8132 | |
Fuad A Ahmad Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 Hamburg Tpke, Ste 2, Pompton Lakes, NJ 07442 Phone: 973-831-6557 | |
Njsr Surgical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Wanaque Ave, Pompton Lakes, NJ 07442 Phone: 973-248-8818 Fax: 973-248-8844 |