Sarita Rastogi Md Pa | |
140 Summit Ave Hackensack NJ 07601-1310 | |
(201) 489-8567 | |
(201) 489-8565 |
Full Name | Sarita Rastogi Md Pa |
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Speciality | Internal Medicine |
Location | 140 Summit Ave, Hackensack, New Jersey |
Authorized Official Name and Position | Sarita Rastogi (DIRECTOR) |
Authorized Official Contact | 2014898567 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sarita Rastogi Md Pa 160 Stephens Ln Mahwah NJ 07430-3862 Ph: (201) 489-8567 | Sarita Rastogi Md Pa 140 Summit Ave Hackensack NJ 07601-1310 Ph: (201) 489-8567 |
NPI Number | 1326186487 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6800991027 |
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Medicare Enrollment ID | O20070417000626 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326186487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Sarita Rastogi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073501094 PECOS PAC ID: 0840213203 Enrollment ID: I20060111000827 |
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