Mid-essex Healthcare Professionals Pc | |
310 Central Ave Ste 201 East Orange NJ 07018-2835 | |
(973) 676-6207 | |
Not Available |
Full Name | Mid-essex Healthcare Professionals Pc |
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Speciality | Obstetrics & Gynecology |
Location | 310 Central Ave, East Orange, New Jersey |
Authorized Official Name and Position | Clifford W Toliver (PRESIDENT /CEO) |
Authorized Official Contact | 9736766207 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mid-essex Healthcare Professionals Pc Po Box 2303 East Orange NJ 07019-2303 Ph: () - | Mid-essex Healthcare Professionals Pc 310 Central Ave Ste 201 East Orange NJ 07018-2835 Ph: (973) 676-6207 |
NPI Number | 1902175953 |
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Provider Enumeration Date | 12/21/2011 |
Last Update Date | 12/21/2011 |
Medicare PECOS PAC ID | 5294050803 |
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Medicare Enrollment ID | O20150202001369 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902175953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Primary |
Provider Name | Clifford W Toliver |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1942215306 PECOS PAC ID: 7315110723 Enrollment ID: I20111031000695 |
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