Shalini R Mali Md Llc | |
206 Claremont Ave Montclair NJ 07042-3410 | |
(973) 746-0009 | |
(973) 746-7911 |
Full Name | Shalini R Mali Md Llc |
---|---|
Speciality | Internal Medicine |
Location | 206 Claremont Ave, Montclair, New Jersey |
Authorized Official Name and Position | Shalini R Mali (OWNER) |
Authorized Official Contact | 9737460009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Shalini R Mali Md Llc 206 Claremont Ave Montclair NJ 07042-3410 Ph: (973) 746-0009 | Shalini R Mali Md Llc 206 Claremont Ave Montclair NJ 07042-3410 Ph: (973) 746-0009 |
NPI Number | 1578815858 |
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Provider Enumeration Date | 10/10/2012 |
Last Update Date | 01/17/2013 |
Medicare PECOS PAC ID | 3870738990 |
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Medicare Enrollment ID | O20130320000602 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578815858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA07371500 (New Jersey) | Primary |
Provider Name | Shalini R Mali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750473286 PECOS PAC ID: 2769394956 Enrollment ID: I20031105000369 |
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