| Medical And Geratric Associate Pc | |
|
2239 Center Ave Fort Lee NJ 07024-6123 | |
| (201) 747-1684 | |
| Not Available |
| Full Name | Medical And Geratric Associate Pc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 2239 Center Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Loris Mansour (BOARD OF DIRECTORS) |
| Authorized Official Contact | 2017471684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical And Geratric Associate Pc Po Box 52 Fort Lee NJ 07024-0052 Ph: (201) 747-1684 | Medical And Geratric Associate Pc 2239 Center Ave Fort Lee NJ 07024-6123 Ph: (201) 747-1684 |
| NPI Number | 1871804534 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 06/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871804534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 25MA07927200 (New Jersey) | Primary |
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