| Lodi Medical Center | |
|
999 Clifton Ave Clifton NJ 07013-2711 | |
| (973) 777-7879 | |
| (973) 777-6738 |
| Full Name | Lodi Medical Center |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 999 Clifton Ave, Clifton, New Jersey |
| Authorized Official Name and Position | William J Focazio (PRESIDENT) |
| Authorized Official Contact | 9737773130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lodi Medical Center 4 Hunter St Lodi NJ 07644-1608 Ph: (973) 777-3130 | Lodi Medical Center 999 Clifton Ave Clifton NJ 07013-2711 Ph: (973) 777-7879 |
| NPI Number | 1396761979 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396761979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MA42726 (New Jersey) | Primary |
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