| Union Medical Group, Llc | |
|
2333 Morris Ave Ste A109 Union NJ 07083-5715 | |
| (908) 688-5000 | |
| Not Available |
| Full Name | Union Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2333 Morris Ave Ste A109, Union, New Jersey |
| Authorized Official Name and Position | Nereida Diaz Johnson (PRESIDENT) |
| Authorized Official Contact | 9086885000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Medical Group, Llc 2333 Morris Ave Ste A109 Union NJ 07083-5715 Ph: (908) 688-5000 | Union Medical Group, Llc 2333 Morris Ave Ste A109 Union NJ 07083-5715 Ph: (908) 688-5000 |
| NPI Number | 1487877809 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 03/31/2020 |
| Medicare PECOS PAC ID | 7719175694 |
|---|---|
| Medicare Enrollment ID | O20101218000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487877809 | NPI | - | NPPES |
| 0256404 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA049304 (New Jersey) | Primary |
| Provider Name | Nereida Diaz-johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013939917 PECOS PAC ID: 9931124963 Enrollment ID: I20051010000432 |
| Provider Name | Clark Philogene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558462044 PECOS PAC ID: 1355539230 Enrollment ID: I20110221000168 |
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