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MEDICAL AND GERATRIC ASSOCIATE PC NPI 1871804534


NPI Information

NPI: 1871804534
Provider Name: MEDICAL AND GERATRIC ASSOCIATE PC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2239 CENTER AVE
FORT LEE, NJ
ZIP 07024
Phone: (201) 747-1684
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MEDICAL AND GERATRIC ASSOCIATE PC is a geriatric medicine internal medicine in Fort Lee, NJ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MEDICAL AND GERATRIC ASSOCIATE PC NPI is 1871804534. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2239 CENTER AVE
FORT LEE, NJ
ZIP 07024-123
Phone: (201) 747-1684

The provider's authorized official is Loris Mansour .
The authorized official title is Board Of Directors and has the following contact phone number (201) 747-1684.

The enumeration date for this NPI number is 6/28/2010 and was last updated on 6/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine25MA07927200NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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