| |
815 Baltimore Ave Roselle NJ 07203-2309 | |
(908) 245-3446 | |
(908) 245-9265 |
Full Name | |
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Speciality | Internal Medicine |
Location | 815 Baltimore Ave, Roselle, New Jersey |
Authorized Official Name and Position | Ram Viswanathan (VICE PRESIDENT) |
Authorized Official Contact | 9082453446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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815 Baltimore Ave Roselle NJ 07203-2309 Ph: (908) 245-3446 | 815 Baltimore Ave Roselle NJ 07203-2309 Ph: (908) 245-3446 |
NPI Number | 1962643874 |
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Provider Enumeration Date | 03/23/2009 |
Last Update Date | 03/23/2009 |
Identifier | Type | State | Issuer |
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1962643874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA08394300 (New Jersey) | Primary |
208000000X | Pediatrics | 25MA06880000 (New Jersey) | Secondary |
Hartshorn Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 221 Chestnut St, Suite 201, Roselle, NJ 07203 Phone: 908-241-7922 | |
Arun C Naik Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Chestnut St, Suite 301-302, Roselle, NJ 07203 Phone: 908-259-1140 | |
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