| Medical Board Prep Inc | |
|
5 Franklin Ave Ste 505 Belleville NJ 07109-3566 | |
| (973) 751-4477 | |
| Not Available |
| Full Name | Medical Board Prep Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Franklin Ave Ste 505, Belleville, New Jersey |
| Authorized Official Name and Position | John A Cerritelli (OWNER) |
| Authorized Official Contact | 9737514477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Board Prep Inc 5 Franklin Ave Ste 505 Belleville NJ 07109-3566 Ph: () - | Medical Board Prep Inc 5 Franklin Ave Ste 505 Belleville NJ 07109-3566 Ph: (973) 751-4477 |
| NPI Number | 1578861787 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 03/11/2011 |
| Medicare PECOS PAC ID | 2668657859 |
|---|---|
| Medicare Enrollment ID | O20110504000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578861787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06042000 (New Jersey) | Primary |
| Provider Name | Hong Sik Pak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427077056 PECOS PAC ID: 6103710298 Enrollment ID: I20040210000718 |
| Provider Name | Joseph F Ardolino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275759516 PECOS PAC ID: 3779532171 Enrollment ID: I20050112000780 |
| Provider Name | John A Cerritelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437240553 PECOS PAC ID: 3476692450 Enrollment ID: I20091204000071 |
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