| Northfield Internal Medicine, Pa | |
|
315 E Northfield Rd Suite # 1d Livingston NJ 07039-4896 | |
| (973) 992-0658 | |
| (973) 992-6655 |
| Full Name | Northfield Internal Medicine, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 315 E Northfield Rd, Livingston, New Jersey |
| Authorized Official Name and Position | Visala V Nanduri (PRESIDENT) |
| Authorized Official Contact | 9733286736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northfield Internal Medicine, Pa 13 Blue Bird Ct Randolph NJ 07869-2127 Ph: (973) 992-0658 | Northfield Internal Medicine, Pa 315 E Northfield Rd Suite # 1d Livingston NJ 07039-4896 Ph: (973) 992-0658 |
| NPI Number | 1336298389 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336298389 | NPI | - | NPPES |
| 0110515 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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