| United Medical Pc | |
|
1117 Route 46 Suite 205 Clifton NJ 07013-2449 | |
| (973) 471-0981 | |
| (973) 471-5818 |
| Full Name | United Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1117 Route 46, Clifton, New Jersey |
| Authorized Official Name and Position | Byong Park (PRESIDENT & MEDICAL DIRECTOR) |
| Authorized Official Contact | 2014600063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Medical Pc 612 Rutherford Ave Lyndhurst NJ 07071-1217 Ph: (201) 460-0063 | United Medical Pc 1117 Route 46 Suite 205 Clifton NJ 07013-2449 Ph: (973) 471-0981 |
| NPI Number | 1215236047 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215236047 | NPI | - | NPPES |
| 0251623 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04594000 (New Jersey) | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 25MA03065000 (New Jersey) | Secondary |
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