| T And D Medical Associates Llc | |
|
132 William St Orange NJ 07050-4065 | |
| (973) 674-8985 | |
| (973) 674-8983 |
| Full Name | T And D Medical Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 132 William St, Orange, New Jersey |
| Authorized Official Name and Position | Christian Dort (MD) |
| Authorized Official Contact | 9732800963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T And D Medical Associates Llc 64 Grumman Ave Newark NJ 07112-2219 Ph: (973) 280-0963 | T And D Medical Associates Llc 132 William St Orange NJ 07050-4065 Ph: (973) 674-8985 |
| NPI Number | 1376839860 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 10/18/2011 |
| Medicare PECOS PAC ID | 2264690189 |
|---|---|
| Medicare Enrollment ID | O20120223000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376839860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christian Dort |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255503793 PECOS PAC ID: 1658410717 Enrollment ID: I20091202000526 |
| Provider Name | Alina Tyndall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720233315 PECOS PAC ID: 7012104383 Enrollment ID: I20101213000545 |
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