| Rosemarie Spinelli-drenth Llc | |
|
169 Lafayette Ave Hawthorne NJ 07506-2613 | |
| (201) 701-1044 | |
| (201) 500-1002 |
| Full Name | Rosemarie Spinelli-drenth Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 169 Lafayette Ave, Hawthorne, New Jersey |
| Authorized Official Name and Position | Rosemarie Spinelli-drenth (OWNER/NURSE PRACTIONER) |
| Authorized Official Contact | 2017011044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosemarie Spinelli-drenth Llc 169 Lafayette Ave Hawthorne NJ 07506-2613 Ph: (201) 701-1044 | Rosemarie Spinelli-drenth Llc 169 Lafayette Ave Hawthorne NJ 07506-2613 Ph: (201) 701-1044 |
| NPI Number | 1811518822 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 06/01/2021 |
| Medicare PECOS PAC ID | 4880015049 |
|---|---|
| Medicare Enrollment ID | O20200527000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811518822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rosemarie Spinelli--drenth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902982986 PECOS PAC ID: 9133213523 Enrollment ID: I20070917000020 |
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