| Rowen Diano Md Pa | |
|
33 N Fullerton Ave Suite 1 Montclair NJ 07042-3644 | |
| (973) 744-7337 | |
| (973) 744-5035 |
| Full Name | Rowen Diano Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 33 N Fullerton Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Rowen Gumapas Diano (PRESIDENT) |
| Authorized Official Contact | 9737447337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowen Diano Md Pa 33 N Fullerton Ave Suite 1 Montclair NJ 07042-3644 Ph: (973) 744-7337 | Rowen Diano Md Pa 33 N Fullerton Ave Suite 1 Montclair NJ 07042-3644 Ph: (973) 744-7337 |
| NPI Number | 1306597026 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2022 |
| Medicare PECOS PAC ID | 9436543097 |
|---|---|
| Medicare Enrollment ID | O20220224000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306597026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Rowen G Diano |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1992862585 PECOS PAC ID: 7315917549 Enrollment ID: I20040727000663 |
| Provider Name | Evelyn V Candalera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861024796 PECOS PAC ID: 8123437647 Enrollment ID: I20210512002014 |
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