| The Endocrine Doctor Inc. | |
|
315 E Northfield Rd Suite 1c Livingston NJ 07039-4896 | |
| (973) 992-1118 | |
| (973) 992-3050 |
| Full Name | The Endocrine Doctor Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 315 E Northfield Rd, Livingston, New Jersey |
| Authorized Official Name and Position | Sonoo Advani (PRESIDENT) |
| Authorized Official Contact | 9739921118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Endocrine Doctor Inc. 315 E Northfield Rd Suite 1c Livingston NJ 07039-4896 Ph: (973) 992-1118 | The Endocrine Doctor Inc. 315 E Northfield Rd Suite 1c Livingston NJ 07039-4896 Ph: (973) 992-1118 |
| NPI Number | 1174729842 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 05/02/2013 |
| Medicare PECOS PAC ID | 0143269746 |
|---|---|
| Medicare Enrollment ID | O20050503000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174729842 | NPI | - | NPPES |
| 090182 | Other | NJ | MEDICARE PTAN |
| DD8573 | Other | NJ | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MA068064 (New Jersey) | Primary |
| Provider Name | Sonoo K Advani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982669123 PECOS PAC ID: 9234191388 Enrollment ID: I20041101000370 |
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