Mediterranean M.d. P.a.
Point of Service in East Orange, New Jersey
1831320803- Practice location
- 185 Central Ave, Suite 308, East Orange, NJ 07018-3332
- Phone
- 973-678-3776
- Fax
- —
- Last updated
- September 14, 2009
Mediterranean M.d. P.a. is a healthcare organization based in East Orange, NJ. Mediterranean M.d. P.a. practices in East Orange, NJ. The NPI Number for Mediterranean M.d. P.a. is 1831320803 and holds a License No. MA61272 (NJ). The current practice location address for Mediterranean M.d. P.a. is 185 Central Ave, Suite 308, East Orange, NJ 07018-3332 and can be reached out via phone at 973-678-3776.
Provider Profile Details
- NPI Number
- 1831320803
- Provider Name
- Mediterranean M.d. P.a.
- Provider Entity Type
- Organization
- Address
- 185 Central Ave, Suite 308, East Orange, NJ 07018-3332
- Phone Number
- 973-678-3776
- Primary Taxonomy
- Point of Service · 305S00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Suzanne Botrous · Pediatrician · 973-678-3776
- Provider Enumeration Date
- August 7, 2009
- Last Update Date
- September 14, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 185 Central Ave
Suite 308
East Orange, NJ 07018-3332 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-3332
- Phone Number
- 973-678-3776
Provider Business Mailing Address Details
- Address
- 185 Central Ave
Suite 308
East Orange, NJ 07018-3332 - City
- East Orange
- State
- NJ
- Zip
- 07018-3332
- Phone Number
- 973-678-3776
License Information
- License Number
- MA61272
- License State
- NJ
- Taxonomy
- Point of Service · 305S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mediterranean M.d. P.a.?
The NPI number of Mediterranean M.d. P.a. is 1831320803. It was assigned on August 7, 2009 and is currently active in the NPPES registry.
What is the specialty of Mediterranean M.d. P.a.?
Mediterranean M.d. P.a. is registered under the primary taxonomy Point of Service (code 305S00000X), licensed in NJ under license number MA61272.
Where does Mediterranean M.d. P.a. practice?
The practice location is 185 Central Ave, Suite 308, East Orange, NJ 07018-3332. The office can be reached at 973-678-3776 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831320803 directly on the NPPES registry website.