Whitney Medical, Associates, P.a. | |
1117 Us Highway 46 Clifton NJ 07013-2449 | |
(973) 614-8484 | |
Not Available |
Full Name | Whitney Medical, Associates, P.a. |
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Speciality | General Practice |
Location | 1117 Us Highway 46, Clifton, New Jersey |
Authorized Official Name and Position | Jesse Mangone (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 9736148484 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Whitney Medical, Associates, P.a. Po Box 7306 East Rutherford NJ 07073-7306 Ph: (973) 614-8484 | Whitney Medical, Associates, P.a. 1117 Us Highway 46 Clifton NJ 07013-2449 Ph: (973) 614-8484 |
NPI Number | 1073525614 |
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Provider Enumeration Date | 08/12/2006 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 6406955079 |
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Medicare Enrollment ID | O20070621000671 |
Identifier | Type | State | Issuer |
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1073525614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 25MB03219800 (New Jersey) | Primary |
Provider Name | Jesse G Mangone |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1598777112 PECOS PAC ID: 3971500984 Enrollment ID: I20061106000332 |
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