| Nj Independent Internal Medicine, Pc | |
|
1300 Main Ave Suite 2a Clifton NJ 07011-2266 | |
| (973) 340-0160 | |
| (973) 340-1391 |
| Full Name | Nj Independent Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 Main Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Reyhan Berkel (MD) |
| Authorized Official Contact | 9733400160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Independent Internal Medicine, Pc 1300 Main Ave Suite 2a Clifton NJ 07011-2266 Ph: (973) 340-0160 | Nj Independent Internal Medicine, Pc 1300 Main Ave Suite 2a Clifton NJ 07011-2266 Ph: (973) 340-0160 |
| NPI Number | 1245663277 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 08/13/2013 |
| Medicare PECOS PAC ID | 4981830700 |
|---|---|
| Medicare Enrollment ID | O20131126000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245663277 | NPI | - | NPPES |
| 25MA08709600 | Other | NJ | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08709600 (New Jersey) | Primary |
| Provider Name | Reyhan Berkel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265630180 PECOS PAC ID: 0648457366 Enrollment ID: I20110607000264 |
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