Mothers And Daughters Womens Center | |
854 Mountain Ave Mountainside NJ 07092-2716 | |
(908) 317-9922 | |
(908) 317-9544 |
Full Name | Mothers And Daughters Womens Center |
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Speciality | Clinic/Center |
Location | 854 Mountain Ave, Mountainside, New Jersey |
Authorized Official Name and Position | Rebecca Metz (MD/OWNER) |
Authorized Official Contact | 9083179922 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mothers And Daughters Womens Center 854 Mountain Ave Mountainside NJ 07092-2716 Ph: (908) 317-9922 | Mothers And Daughters Womens Center 854 Mountain Ave Mountainside NJ 07092-2716 Ph: (908) 317-9922 |
NPI Number | 1619583416 |
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Provider Enumeration Date | 09/17/2020 |
Last Update Date | 09/17/2020 |
Medicare PECOS PAC ID | 9032529615 |
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Medicare Enrollment ID | O20201110002998 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619583416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Provider Name | Rebecca L Metz |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1295018133 PECOS PAC ID: 2466628219 Enrollment ID: I20111229000357 |
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