| Luke Eyerman Md, Llc | |
|
290 Lafayette Ave, Ste 202 Hawthorne NJ 07506-1928 | |
| (201) 466-0938 | |
| (201) 791-1438 |
| Full Name | Luke Eyerman Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 290 Lafayette Ave, Ste 202, Hawthorne, New Jersey |
| Authorized Official Name and Position | Luke E. Eyerman (OWNER) |
| Authorized Official Contact | 2014660938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Eyerman Md, Llc 290 Lafayette Ave, Ste 202 Hawthorne NJ 07506-1928 Ph: (201) 947-7642 | Luke Eyerman Md, Llc 290 Lafayette Ave, Ste 202 Hawthorne NJ 07506-1928 Ph: (201) 466-0938 |
| NPI Number | 1518104249 |
|---|---|
| Provider Enumeration Date | 01/16/2009 |
| Last Update Date | 03/15/2024 |
| Medicare PECOS PAC ID | 6608925383 |
|---|---|
| Medicare Enrollment ID | O20090529000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518104249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Luke E Eyerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225021405 PECOS PAC ID: 7719933068 Enrollment ID: I20050330000007 |
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