| Total Support Medical Group Inc. | |
|
34 Union Ave Irvington NJ 07111-3219 | |
| (973) 373-0903 | |
| (973) 373-1087 |
| Full Name | Total Support Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 34 Union Ave, Irvington, New Jersey |
| Authorized Official Name and Position | Chikezie Onyenso (MD) |
| Authorized Official Contact | 9733730903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Support Medical Group Inc. 34 Union Ave Irvington NJ 07111-3219 Ph: (973) 373-0903 | Total Support Medical Group Inc. 34 Union Ave Irvington NJ 07111-3219 Ph: (973) 373-0903 |
| NPI Number | 1467510776 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467510776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | (* (Not Available)) | Secondary |
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