| Stat Medical Services Llc | |
|
845 Broadway Bayonne NJ 07002 | |
| (201) 858-2900 | |
| (201) 858-2910 |
| Full Name | Stat Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 845 Broadway, Bayonne, New Jersey |
| Authorized Official Name and Position | George Padkowsky (MD) |
| Authorized Official Contact | 2018582900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stat Medical Services Llc 845 Broadway Bayonne NJ 07002 Ph: (201) 858-2900 | Stat Medical Services Llc 845 Broadway Bayonne NJ 07002 Ph: (201) 858-2900 |
| NPI Number | 1477744019 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 08/08/2007 |
| Medicare PECOS PAC ID | 4486749264 |
|---|---|
| Medicare Enrollment ID | O20071009000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477744019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | George O Padkowsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497863864 PECOS PAC ID: 3476648254 Enrollment ID: I20071009000578 |
| Provider Name | Adrian Padkowsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447559943 PECOS PAC ID: 5496048571 Enrollment ID: I20160727000759 |
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