| Robert Picciano, M.d. & Maria Vieira Picciano, M.d., P.c. | |
|
36 Pacific St Newark NJ 07105-1665 | |
| (973) 578-4808 | |
| (973) 578-2939 |
| Full Name | Robert Picciano, M.d. & Maria Vieira Picciano, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 36 Pacific St, Newark, New Jersey |
| Authorized Official Name and Position | Fatima Sendao (OFFICE MANAGER) |
| Authorized Official Contact | 9735784808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Picciano, M.d. & Maria Vieira Picciano, M.d., P.c. 36 Pacific Street Newark NJ 07105 Ph: (973) 578-4808 | Robert Picciano, M.d. & Maria Vieira Picciano, M.d., P.c. 36 Pacific St Newark NJ 07105-1665 Ph: (973) 578-4808 |
| NPI Number | 1235323460 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 08/13/2009 |
| Medicare PECOS PAC ID | 9739233867 |
|---|---|
| Medicare Enrollment ID | O20090824000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235323460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA05550400 (New Jersey) | Primary |
| 207W00000X | Ophthalmology | 25MA05674900 (New Jersey) | Secondary |
| Provider Name | Maria Picciano |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215957246 PECOS PAC ID: 5890849921 Enrollment ID: I20090825000122 |
| Provider Name | Robert Picciano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841210861 PECOS PAC ID: 0345394474 Enrollment ID: I20090825000147 |
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