New Providence Internal Medicine Associates | |
571 Central Ave Suite 112 New Providence NJ 07974-1547 | |
(908) 464-7300 | |
(908) 464-7350 |
Full Name | New Providence Internal Medicine Associates |
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Speciality | Internal Medicine |
Location | 571 Central Ave, New Providence, New Jersey |
Authorized Official Name and Position | James John Hakim (PHYSICIAN) |
Authorized Official Contact | 9084647300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Providence Internal Medicine Associates 571 Central Ave Suite 112 New Providence NJ 07974-1547 Ph: (908) 464-7300 | New Providence Internal Medicine Associates 571 Central Ave Suite 112 New Providence NJ 07974-1547 Ph: (908) 464-7300 |
NPI Number | 1972657195 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 5092723486 |
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Medicare Enrollment ID | O20060327000497 |
Identifier | Type | State | Issuer |
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1972657195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA050005 (New Jersey) | Primary |
Provider Name | Paul B Zukoff |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891858569 PECOS PAC ID: 2567487549 Enrollment ID: I20051010000054 |
Provider Name | James J Hakim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457411019 PECOS PAC ID: 1052336054 Enrollment ID: I20051010000221 |
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