Simon B Santos Medical Group Llc | |
410 36th St Union City NJ 07087-4712 | |
(201) 863-7744 | |
(201) 863-7608 |
Full Name | Simon B Santos Medical Group Llc |
---|---|
Speciality | Internal Medicine |
Location | 410 36th St, Union City, New Jersey |
Authorized Official Name and Position | Simon B Santos (PRESIDENT) |
Authorized Official Contact | 2018637744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Simon B Santos Medical Group Llc 410 36th St Union City NJ 07087-4712 Ph: (201) 863-7744 | Simon B Santos Medical Group Llc 410 36th St Union City NJ 07087-4712 Ph: (201) 863-7744 |
NPI Number | 1619138625 |
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Provider Enumeration Date | 06/23/2008 |
Last Update Date | 08/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619138625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA34521 (New Jersey) | Primary |
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