| New Jersey Travel Clinic, Llc | |
|
205 Browertown Rd Suite #202 Woodland Park NJ 07424-2671 | |
| (201) 345-4550 | |
| Not Available |
| Full Name | New Jersey Travel Clinic, Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 205 Browertown Rd, Woodland Park, New Jersey |
| Authorized Official Name and Position | Jacqueline M. Vierheilig (PHYSICIAN) |
| Authorized Official Contact | 2013454550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Travel Clinic, Llc Po Box 1 Midland Park NJ 07432-0001 Ph: (201) 345-4550 | New Jersey Travel Clinic, Llc 205 Browertown Rd Suite #202 Woodland Park NJ 07424-2671 Ph: (201) 345-4550 |
| NPI Number | 1699116392 |
|---|---|
| Provider Enumeration Date | 07/10/2013 |
| Last Update Date | 07/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699116392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA06298300 (New Jersey) | Primary |
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