Mobile Medicare in Clark - Geriatric Medicine
Mobile Medicare - NPI 1457460594
Mobile Medicare is a Geriatric Medicine in Clark, New Jersey. Mobile Medicare practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Mobile Medicare is 1457460594. The last update date is 2007-08-06.
Mobile Medicare's current location address is 67 Walnut Ave, Clark, New Jersey. You can contact this provider via phone number 7323887300 and fax number 7323881330. The mailing address for Mobile Medicare is 67 Walnut Ave, Clark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mobile Medicare |
|---|---|
| Address | 67 Walnut Ave, Clark, New Jersey |
| Phone Number | 7323887300 |
| Fax Number | 7323881330 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Tiedemann Elizabeth Colleen |
| Telephone Number | 7323887300 |
NPI Number Detail
| NPI Number | 1457460594 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-08-06 |
Provider Mailing Address Detail
| Address | 67 Walnut Ave |
|---|---|
| City | Clark |
| State | New Jersey (NJ) |
| Post Code | 70661640 |
| Phone Number | 7323887300 |
| Fax Number | 7323881330 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | MB53933 |
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Definition: A family medicine physician with 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 |
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What is the unique 10-digit identifier code assigned to Mobile Medicare by the Centers for Medicare & Medicaid Services?
The Mobile Medicare has been issued the NPI (National Provider Identifier) 1457460594 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mobile Medicare's physical address?
The Mobile Medicare is physically located at 67 Walnut Ave, in the city of Clark, NJ, with the postal code 70661640.
What is the Mobile Medicare's specialty and taxonomy code?
The Mobile Medicare's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Qg0300X.
When did the Mobile Medicare receive its 1457460594?
The Mobile Medicare was issued its 1457460594 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mobile Medicare most recently updated or revised?
The information pertaining to Mobile Medicare, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-06.