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NPI Code Detail

MEDICARE: SENIOR STAR CORP. MEDICAL DAY

MEDICARE: SENIOR STAR CORP. MEDICAL DAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669598314
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR STAR CORP. MEDICAL DAY
Provider Business Mailing Address
First Line : 1676 N OLDEN AVE
Second Line :
City : EWING
State : NJ
Zip : 08638-3209
Country : US
Telephone Number : 609-434-0041
Fax Number : 609-434-0043
Provider Business Practice Location Address
First Line : 1676 N OLDEN AVE
Second Line :
City : EWING
State : NJ
Zip : 08638-3209
Country : US
Telephone Number : 609-434-0041
Fax Number : 609-434-0043
Authorized Official
Title or Position : PRESIDENT
Name : MRS. JULIA KIPNIS
Credential :
Telephone Number : 609-434-0041
Provider Enumeration Date : 03/22/2007
Last Update Date : 08/24/2015

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Directions to “SENIOR STAR CORP. MEDICAL DAY ” Practice Location

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