| Trinitas Regional Medical Center Physicians Practice Acct | |
|
67 Walnut Ave Suite 202 Clark NJ 07066-1640 | |
| (732) 388-7300 | |
| (732) 388-1330 |
| Full Name | Trinitas Regional Medical Center Physicians Practice Acct |
|---|---|
| Speciality | Family Medicine |
| Location | 67 Walnut Ave, Clark, New Jersey |
| Authorized Official Name and Position | Thomas J Sampson (PRACTICE MANAGER) |
| Authorized Official Contact | 9082980579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinitas Regional Medical Center Physicians Practice Acct 67 Walnut Ave Suite 202 Clark NJ 07066-1640 Ph: (732) 388-7300 | Trinitas Regional Medical Center Physicians Practice Acct 67 Walnut Ave Suite 202 Clark NJ 07066-1640 Ph: (732) 388-7300 |
| NPI Number | 1669757217 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 10/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669757217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB27483 (New Jersey) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 25MA08379100 (New Jersey) | Secondary |
Rahway Medical Associates, P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181 Westfield Ave, Clark, NJ 07066 Phone: 732-382-1699 | |
Lisik-roberti Clinical Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 67 Walnut Ave Ste 402, Clark, NJ 07066 Phone: 732-499-9110 Fax: 855-822-3223 | |
My Ziba Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 Raritan Rd Fl 2, Clark, NJ 07066 Phone: 908-232-2273 Fax: 908-232-1439 | |
Sports Extra Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Walnut Ave, Suite 202, Clark, NJ 07066 Phone: 732-388-7300 Fax: 732-388-1330 | |
Thomas A. Kowalenko, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Raritan Rd, Clark, NJ 07066 Phone: 732-381-2100 Fax: 732-382-3576 | |
Mobile Medicare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Walnut Ave, Clark, NJ 07066 Phone: 732-388-7300 Fax: 732-388-1330 | |
Clark First Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Central Ave, Clark, NJ 07066 Phone: 732-382-9700 Fax: 732-382-9707 |