| St. Joseph's Regional Medical Center | |
|
400 Riverfront Blvd 119 Elmwood Park NJ 07407-3600 | |
| (787) 679-4700 | |
| Not Available |
| Full Name | St. Joseph's Regional Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Riverfront Blvd, Elmwood Park, New Jersey |
| Authorized Official Name and Position | Marianne Lanno (MANAGED CARE PHYSICIAN CREDENTIALIN) |
| Authorized Official Contact | 9797542052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph's Regional Medical Center 703 Main St Paterson NJ 07503-2621 Ph: () - | St. Joseph's Regional Medical Center 400 Riverfront Blvd 119 Elmwood Park NJ 07407-3600 Ph: (787) 679-4700 |
| NPI Number | 1992113914 |
|---|---|
| Provider Enumeration Date | 07/23/2014 |
| Last Update Date | 07/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992113914 | NPI | - | NPPES |
| 072314 | Other | DOC NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 39 (* (Not Available)) | Primary |
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