| Services Of Physicians Llc | |
|
576 Central Ave Suite 204 East Orange NJ 07018-1951 | |
| (973) 676-6800 | |
| (973) 676-6802 |
| Full Name | Services Of Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 576 Central Ave, East Orange, New Jersey |
| Authorized Official Name and Position | Diana Roman (OWNER) |
| Authorized Official Contact | 7322471106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Services Of Physicians Llc 576 Central Ave Suite 204 East Orange NJ 07018-1951 Ph: (973) 676-6800 | Services Of Physicians Llc 576 Central Ave Suite 204 East Orange NJ 07018-1951 Ph: (973) 676-6800 |
| NPI Number | 1336335264 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 01/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336335264 | NPI | - | NPPES |
| 0107140 | Medicaid | NJ | |
| 116427 | Other | NJ | MEDCARE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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