North Bergen Family Medicine Llc | |
15 Engle St Suite 305 Englewood NJ 07631-2936 | |
(347) 331-9409 | |
Not Available |
Full Name | North Bergen Family Medicine Llc |
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Speciality | Family Medicine |
Location | 15 Engle St, Englewood, New Jersey |
Authorized Official Name and Position | Lara Mor Zilberstein (PHYSICIAN/OWNER) |
Authorized Official Contact | 3473319409 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Bergen Family Medicine Llc 15 Engle St Suite 305 Englewood NJ 07631-2936 Ph: () - | North Bergen Family Medicine Llc 15 Engle St Suite 305 Englewood NJ 07631-2936 Ph: (347) 331-9409 |
NPI Number | 1063857878 |
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Provider Enumeration Date | 05/07/2013 |
Last Update Date | 05/07/2013 |
Medicare PECOS PAC ID | 8527207646 |
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Medicare Enrollment ID | O20130621000436 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063857878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MA09194800 (New Jersey) | Primary |
Provider Name | Lara Mor Zilberstein |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346572260 PECOS PAC ID: 7416073416 Enrollment ID: I20130621000444 |
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