| Scott David Lippe, Md., Llc | |
|
230 E Ridgewood Ave Ste 6-2 Paramus NJ 07652-4142 | |
| (201) 225-4700 | |
| (201) 225-4702 |
| Full Name | Scott David Lippe, Md., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 230 E Ridgewood Ave, Paramus, New Jersey |
| Authorized Official Name and Position | Scott Lippe (DIRECTOR) |
| Authorized Official Contact | 2012254700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott David Lippe, Md., Llc 230 E Ridgewood Ave Ste 6-2 Paramus NJ 07652-4142 Ph: (201) 225-4700 | Scott David Lippe, Md., Llc 230 E Ridgewood Ave Ste 6-2 Paramus NJ 07652-4142 Ph: (201) 225-4700 |
| NPI Number | 1629416037 |
|---|---|
| Provider Enumeration Date | 06/07/2013 |
| Last Update Date | 06/07/2013 |
| Medicare PECOS PAC ID | 1850526609 |
|---|---|
| Medicare Enrollment ID | O20131101000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629416037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Scott D Lippe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992766844 PECOS PAC ID: 0446268189 Enrollment ID: I20060322000580 |
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