North Jersey Infectious Disease Group Llc | |
200 Grand Ave Suite 102 Englewood NJ 07631-4371 | |
(201) 503-0660 | |
(201) 503-0685 |
Full Name | North Jersey Infectious Disease Group Llc |
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Speciality | Internal Medicine |
Location | 200 Grand Ave, Englewood, New Jersey |
Authorized Official Name and Position | Mihran A Seferian (MEMBER) |
Authorized Official Contact | 2015030660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
North Jersey Infectious Disease Group Llc 200 Grand Ave Suite 102 Englewood NJ 07631-4371 Ph: (201) 503-0660 | North Jersey Infectious Disease Group Llc 200 Grand Ave Suite 102 Englewood NJ 07631-4371 Ph: (201) 503-0660 |
NPI Number | 1043362940 |
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Provider Enumeration Date | 01/18/2007 |
Last Update Date | 06/23/2008 |
Medicare PECOS PAC ID | 4880763184 |
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Medicare Enrollment ID | O20080513000084 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043362940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | MA62848 (New Jersey) | Primary |
Provider Name | Suraj K Saggar |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1750419958 PECOS PAC ID: 5799708426 Enrollment ID: I20060109000962 |
Provider Name | Mihran A Seferian |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1821198805 PECOS PAC ID: 4284634684 Enrollment ID: I20070109000433 |
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