| Louis V Sangosse, Md Pa | |
|
745 Northfield Ave Suite #7 West Orange NJ 07052-1144 | |
| (973) 731-0200 | |
| (973) 325-2244 |
| Full Name | Louis V Sangosse, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 745 Northfield Ave, West Orange, New Jersey |
| Authorized Official Name and Position | Louis V Sangosse (PRESIDENT) |
| Authorized Official Contact | 9737310200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louis V Sangosse, Md Pa 745 Northfield Ave Suite #7 West Orange NJ 07052-1144 Ph: (973) 731-0200 | Louis V Sangosse, Md Pa 745 Northfield Ave Suite #7 West Orange NJ 07052-1144 Ph: (973) 731-0200 |
| NPI Number | 1578802385 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 02/14/2013 |
| Medicare PECOS PAC ID | 9739324096 |
|---|---|
| Medicare Enrollment ID | O20130315000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578802385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
| Provider Name | Louis Sangosse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487694964 PECOS PAC ID: 7719919158 Enrollment ID: I20050907000010 |
| Provider Name | Michele B Dolisca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992361315 PECOS PAC ID: 2567794159 Enrollment ID: I20191031001533 |
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