Mount Prospect Primary Care Center in Newark - Internal Medicine

Mount Prospect Primary Care Center - NPI 1609063445

Mount Prospect Primary Care Center is a Internal Medicine in Newark, New Jersey. Mount Prospect Primary Care Center practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mount Prospect Primary Care Center is 1609063445. The last update date is 2007-09-25.

Mount Prospect Primary Care Center's current location address is 796 Mount Prospect Ave, Newark, New Jersey. You can contact this provider via phone number 7322260757 and fax number 7328378514. The mailing address for Mount Prospect Primary Care Center is 796 Mount Prospect Ave, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mount Prospect Primary Care Center
Address 796 Mount Prospect Ave, Newark, New Jersey
Phone Number 7322260757
Fax Number 7328378514
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DO
Authorized Official Name Rosa Eddie
Credentials MD
Telephone Number 7322260757

NPI Number Detail

NPI Number 1609063445
Provider Enumeration Date 2007-09-25
Last Updated Date 2007-09-25

Provider Mailing Address Detail

Address 796 Mount Prospect Ave
City Newark
State New Jersey (NJ)
Post Code 71043223
Phone Number 7322260757
Fax Number 7328378514

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MA073494
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Mount Prospect Primary Care Center

What is the unique provider identifier assigned to Mount Prospect Primary Care Center?

The Mount Prospect Primary Care Center has been issued the NPI (National Provider Identifier) 1609063445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Mount Prospect Primary Care Center?

The Mount Prospect Primary Care Center is physically situated at 796 Mount Prospect Ave, in the city of Newark, state of NJ, with the postal code 71043223.

What is Mount Prospect Primary Care Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mount Prospect Primary Care Center is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

On what date did the Mount Prospect Primary Care Center receive its 1609063445 assignment from the Centers for Medicare & Medicaid Services?

The Mount Prospect Primary Care Center was assigned its 1609063445 by the Centers for Medicare & Medicaid Services on 2007-09-25.

When was the information related to Mount Prospect Primary Care Center most recently updated or refreshed?

The details pertaining to the Mount Prospect Primary Care Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-25.

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