| Loihle Medical Llc | |
|
350 W Passaic St Ste 2 Rochelle Park NJ 07662-3000 | |
| (973) 943-9594 | |
| Not Available |
| Full Name | Loihle Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 W Passaic St Ste 2, Rochelle Park, New Jersey |
| Authorized Official Name and Position | Gail Cerda (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9739439594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loihle Medical Llc 350 W Passaic Street Rochelle Park NJ 07662-3073 Ph: (973) 943-9594 | Loihle Medical Llc 350 W Passaic St Ste 2 Rochelle Park NJ 07662-3000 Ph: (973) 943-9594 |
| NPI Number | 1700402609 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 03/17/2021 |
| Medicare PECOS PAC ID | 9133515117 |
|---|---|
| Medicare Enrollment ID | O20220330001919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700402609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Gail Loihle Cerda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760768477 PECOS PAC ID: 9133423395 Enrollment ID: I20160209000257 |
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