| Raphael Osheroff, M.d, P.a. | |
|
385 Lakeview Ave Clifton NJ 07011-4035 | |
| (973) 928-2777 | |
| (973) 928-2776 |
| Full Name | Raphael Osheroff, M.d, P.a. |
|---|---|
| Speciality | General Practice |
| Location | 385 Lakeview Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Raphael J Osheroff (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9739282777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raphael Osheroff, M.d, P.a. 2 Hamilton Ave Cranford NJ 07016-2427 Ph: (973) 928-2777 | Raphael Osheroff, M.d, P.a. 385 Lakeview Ave Clifton NJ 07011-4035 Ph: (973) 928-2777 |
| NPI Number | 1891913141 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891913141 | NPI | - | NPPES |
| 6919600 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 25MA06156400 (New Jersey) | Primary |
| 208D00000X | General Practice | 175535-1 (New York) | Secondary |
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