Universal Medical Center, P.c. | |
278 Broadway Elmwood Park NJ 07407-3525 | |
(201) 797-8914 | |
(201) 797-8916 |
Full Name | Universal Medical Center, P.c. |
---|---|
Speciality | Internal Medicine |
Location | 278 Broadway, Elmwood Park, New Jersey |
Authorized Official Name and Position | Boris Livshits (PRESIDENT) |
Authorized Official Contact | 2017978914 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Universal Medical Center, P.c. 278 Broadway Elmwood Park NJ 07407-3525 Ph: (201) 797-8914 | Universal Medical Center, P.c. 278 Broadway Elmwood Park NJ 07407-3525 Ph: (201) 797-8914 |
NPI Number | 1861607095 |
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Provider Enumeration Date | 05/11/2007 |
Last Update Date | 04/08/2015 |
Medicare PECOS PAC ID | 6901894468 |
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Medicare Enrollment ID | O20040504000144 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861607095 | NPI | - | NPPES |
8080305 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Boris Livshits |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962442210 PECOS PAC ID: 4981692449 Enrollment ID: I20040504000180 |
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