| New Jersey Medical Group, Pc | |
|
464 Hudson Ter Suite 201 Englewood Cliffs NJ 07632-2902 | |
| (201) 503-0828 | |
| (201) 503-0848 |
| Full Name | New Jersey Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 464 Hudson Ter, Englewood Cliffs, New Jersey |
| Authorized Official Name and Position | Annie Lee (OFFICE MANAGER) |
| Authorized Official Contact | 2015030828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Medical Group, Pc 464 Hudson Ter Suite 201 Englewood Cliffs NJ 07632-2902 Ph: (201) 503-0828 | New Jersey Medical Group, Pc 464 Hudson Ter Suite 201 Englewood Cliffs NJ 07632-2902 Ph: (201) 503-0828 |
| NPI Number | 1033268370 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 03/14/2013 |
| Medicare PECOS PAC ID | 9032169925 |
|---|---|
| Medicare Enrollment ID | O20050128000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033268370 | NPI | - | NPPES |
| 6919405 | Medicaid | NJ |
| Provider Name | Terrance Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053350389 PECOS PAC ID: 1254389091 Enrollment ID: I20110118001180 |
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