| Medical Specialties Of New Jersey Pa | |
|
842 Clifton Ave Suite 4 Clifton NJ 07013-1800 | |
| (973) 777-2440 | |
| Not Available |
| Full Name | Medical Specialties Of New Jersey Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 842 Clifton Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Gabriella Antoinette Weiss (OWNER) |
| Authorized Official Contact | 9737774433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Specialties Of New Jersey Pa 842 Clifton Ave Suite 4 Clifton NJ 07013-1800 Ph: (973) 777-2440 | Medical Specialties Of New Jersey Pa 842 Clifton Ave Suite 4 Clifton NJ 07013-1800 Ph: (973) 777-2440 |
| NPI Number | 1578698700 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 09/24/2008 |
| Medicare PECOS PAC ID | 0345309035 |
|---|---|
| Medicare Enrollment ID | O20081111000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578698700 | NPI | - | NPPES |
| 1713001 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MA42491 (New Jersey) | Primary |
| Provider Name | Gabriella A Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558437251 PECOS PAC ID: 9830113794 Enrollment ID: I20060118000466 |
| Provider Name | Jeffrey Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215215835 PECOS PAC ID: 7012145600 Enrollment ID: I20140103001020 |
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