Total Health Solutions Pc | |
5809 Madison St West New York NJ 07093-1289 | |
(201) 770-1370 | |
Not Available |
Full Name | Total Health Solutions Pc |
---|---|
Speciality | Internal Medicine |
Location | 5809 Madison St, West New York, New Jersey |
Authorized Official Name and Position | Robert Zwitiashvili (PRESIDENT) |
Authorized Official Contact | 9737677648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Total Health Solutions Pc 95 Crescent Dr Ringwood NJ 07456-1108 Ph: (201) 770-1370 | Total Health Solutions Pc 5809 Madison St West New York NJ 07093-1289 Ph: (201) 770-1370 |
NPI Number | 1285927442 |
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Provider Enumeration Date | 05/20/2011 |
Last Update Date | 07/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285927442 | NPI | - | NPPES |
963101 | Medicaid | NJ | |
223963013 | Other | NJ | QUALCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4523300 (New Jersey) | Primary |
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