| Maura E Pedroso Llc | |
|
400 38th St Ste 301 Union City NJ 07087-4848 | |
| (201) 884-1005 | |
| (551) 226-6488 |
| Full Name | Maura E Pedroso Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 400 38th St Ste 301, Union City, New Jersey |
| Authorized Official Name and Position | Pedroso E Maura (PRESIDENT) |
| Authorized Official Contact | 9174077346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maura E Pedroso Llc 400 38th St Ste 301 Union City NJ 07087-4848 Ph: (201) 884-1005 | Maura E Pedroso Llc 400 38th St Ste 301 Union City NJ 07087-4848 Ph: (201) 884-1005 |
| NPI Number | 1932404100 |
|---|---|
| Provider Enumeration Date | 01/20/2011 |
| Last Update Date | 04/12/2024 |
| Medicare PECOS PAC ID | 3072797455 |
|---|---|
| Medicare Enrollment ID | O20110408000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932404100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07746600 (New Jersey) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA07746600 (New Jersey) | Primary |
| Provider Name | Maura Pedroso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033154141 PECOS PAC ID: 1254319767 Enrollment ID: I20041229000788 |
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