| Medical Group Of Bergen Pc | |
|
230 E Ridgewood Ave Bldg 6, Second Floor Paramus NJ 07652-4142 | |
| (201) 225-4700 | |
| (201) 225-4702 |
| Full Name | Medical Group Of Bergen Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 230 E Ridgewood Ave, Paramus, New Jersey |
| Authorized Official Name and Position | Anna Harutyunyan (MD/OWNER) |
| Authorized Official Contact | 2012254700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group Of Bergen Pc 28 Woodcrest Dr Woodcliff Lake NJ 07677-7628 Ph: (201) 362-3978 | Medical Group Of Bergen Pc 230 E Ridgewood Ave Bldg 6, Second Floor Paramus NJ 07652-4142 Ph: (201) 225-4700 |
| NPI Number | 1467757708 |
|---|---|
| Provider Enumeration Date | 01/18/2011 |
| Last Update Date | 07/25/2016 |
| Medicare PECOS PAC ID | 0547444028 |
|---|---|
| Medicare Enrollment ID | O20110407000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467757708 | NPI | - | NPPES |
| 0206512 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08285000 (New Jersey) | Primary |
| Provider Name | Anna Harutyunyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467610014 PECOS PAC ID: 9931285830 Enrollment ID: I20100511000824 |
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