Mobile Medicare
Mobile Medicare is a Geriatric Medicine (Family Medicine) Physician in Clark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.
- Licensed in
- NJ
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
67 Walnut AveClark, NJ 07066-1640
Phone: (732) 388-7300
Fax: (732) 388-1330
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X · Licence MB27483 (NJ) |
|---|---|
| Geriatric Medicine (Family Medicine) Physician | Taxonomy 207QG0300X · Licence MB53933 (NJ) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence MB71509 (NJ) |
Record details
| NPI number | 1457460594 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Colleen Tiedemann — Office Manager · (732) 388-7300 |
| NPI enumerated | August 30, 2006 |
| Last updated in NPPES | August 6, 2007 |
| Mailing address | 67 Walnut Ave, Clark, NJ 07066-1640 |