| Union Internal Medicine Group Pa | |
|
2027 Morris Ave Union NJ 07083-6013 | |
| (908) 688-2480 | |
| (908) 688-7518 |
| Full Name | Union Internal Medicine Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2027 Morris Ave, Union, New Jersey |
| Authorized Official Name and Position | Nicholas A Defilippis (PRESIDENT) |
| Authorized Official Contact | 9086882480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Internal Medicine Group Pa 2027 Morris Ave Union NJ 07083-6013 Ph: (908) 688-2480 | Union Internal Medicine Group Pa 2027 Morris Ave Union NJ 07083-6013 Ph: (908) 688-2480 |
| NPI Number | 1326073305 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 10/20/2010 |
| Medicare PECOS PAC ID | 4082807219 |
|---|---|
| Medicare Enrollment ID | O20101020001319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326073305 | NPI | - | NPPES |
| 2715309 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jacqueline A Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982628335 PECOS PAC ID: 0244253425 Enrollment ID: I20060113000482 |
| Provider Name | Nicholas A Defilippis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518962257 PECOS PAC ID: 9133312374 Enrollment ID: I20101020001408 |
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