| Universal Management Group Inc. | |
|
611 Albert Pl Ridgewood NJ 07450-5308 | |
| (570) 590-7819 | |
| Not Available |
| Full Name | Universal Management Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 611 Albert Pl, Ridgewood, New Jersey |
| Authorized Official Name and Position | Soltan Cangoz (OWNER) |
| Authorized Official Contact | 5705907819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Management Group Inc. 611 Albert Pl Ridgewood NJ 07450-5308 Ph: (570) 590-7819 | Universal Management Group Inc. 611 Albert Pl Ridgewood NJ 07450-5308 Ph: (570) 590-7819 |
| NPI Number | 1285234609 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 10/26/2020 |
| Medicare PECOS PAC ID | 4385056332 |
|---|---|
| Medicare Enrollment ID | O20201215002871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285234609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pavel Conovalciuc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720017080 PECOS PAC ID: 4587673504 Enrollment ID: I20200504001122 |
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