Sureguard Llc | |
8 Windridge Dr North Caldwell NJ 07006-4048 | |
(866) 280-1543 | |
Not Available |
Full Name | Sureguard Llc |
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Speciality | Clinic/Center |
Location | 8 Windridge Dr, North Caldwell, New Jersey |
Authorized Official Name and Position | Lee Brochstein (EXECUTIVE DIRECTOR OF CORPORATE OPE) |
Authorized Official Contact | 7137038642 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sureguard Llc 3414 Gannett St Houston TX 77025-3712 Ph: () - | Sureguard Llc 8 Windridge Dr North Caldwell NJ 07006-4048 Ph: (866) 280-1543 |
NPI Number | 1750152351 |
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Provider Enumeration Date | 01/11/2024 |
Last Update Date | 01/11/2024 |
Medicare PECOS PAC ID | 6709241763 |
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Medicare Enrollment ID | O20240528001718 |
Identifier | Type | State | Issuer |
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1750152351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Aron M Green |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1891726238 PECOS PAC ID: 5294739827 Enrollment ID: I20070815000002 |
Provider Name | Ogechi Enwereji |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114616059 PECOS PAC ID: 8022470004 Enrollment ID: I20230809000525 |