| St Michael Infectious Disease Associates | |
|
265 Dr Martin Luther King Jr Blvd Newark NJ 07102-2012 | |
| (973) 877-2586 | |
| Not Available |
| Full Name | St Michael Infectious Disease Associates |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 265 Dr Martin Luther King Jr Blvd, Newark, New Jersey |
| Authorized Official Name and Position | Stephen Smith (OWNER) |
| Authorized Official Contact | 9738772586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Michael Infectious Disease Associates Po Box 36 Roseland NJ 07068-0036 Ph: (201) 512-9494 | St Michael Infectious Disease Associates 265 Dr Martin Luther King Jr Blvd Newark NJ 07102-2012 Ph: (973) 877-2586 |
| NPI Number | 1811942766 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 05/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811942766 | NPI | - | NPPES |
| 8420301 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MA060236 (New Jersey) | Primary |
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