| Mgm Medical Center | |
|
262 William St East Orange NJ 07017-4324 | |
| (973) 677-2231 | |
| (973) 677-2231 |
| Full Name | Mgm Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 262 William St, East Orange, New Jersey |
| Authorized Official Name and Position | Maleka Robinson (NURSE PRACTITIONER) |
| Authorized Official Contact | 9736772233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgm Medical Center 262 William St East Orange NJ 07017-4324 Ph: (973) 677-2233 | Mgm Medical Center 262 William St East Orange NJ 07017-4324 Ph: (973) 677-2231 |
| NPI Number | 1386275352 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 06/20/2022 |
| Medicare PECOS PAC ID | 4284057407 |
|---|---|
| Medicare Enrollment ID | O20200707001855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386275352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Maleka D Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225589054 PECOS PAC ID: 7113261751 Enrollment ID: I20181207001580 |
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