| Pasteur Medical Group Pa | |
|
525 42nd St Union City NJ 07087-2687 | |
| (201) 866-2223 | |
| (201) 866-0449 |
| Full Name | Pasteur Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 525 42nd St, Union City, New Jersey |
| Authorized Official Name and Position | Ruben Perez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2018662223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasteur Medical Group Pa Po Box 831 Union City NJ 07087-0831 Ph: (201) 866-2223 | Pasteur Medical Group Pa 525 42nd St Union City NJ 07087-2687 Ph: (201) 866-2223 |
| NPI Number | 1972804789 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 06/16/2011 |
| Medicare PECOS PAC ID | 6901087246 |
|---|---|
| Medicare Enrollment ID | O20110221000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972804789 | NPI | - | NPPES |
| 0003794 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07607300 (New Jersey) | Primary |
| Provider Name | Ruben Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346324084 PECOS PAC ID: 7810945383 Enrollment ID: I20050111000784 |
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