MEDICARE: GLOBAL HEALTH MEDICAL CENTER, P.C.

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
1	207R00000X	Internal Medicine Physician	MA062638	NJ

General Provider Information

NPI Number	:	1750310678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL HEALTH MEDICAL CENTER, P.C.

Provider Business Mailing Address
First Line	:	2040 MILLBURN AVE
Second Line	:	SUITE 401
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-3726
Country	:	US
Telephone Number	:	973-275-1970
Fax Number	:	973-275-1971

Provider Business Practice Location Address
First Line	:	2040 MILLBURN AVE
Second Line	:	SUITE 401
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-3726
Country	:	US
Telephone Number	:	973-275-1970
Fax Number	:	973-275-1971

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDDY SIMON
Credential	:	M.D.
Telephone Number	:	973-275-1970

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	06/05/2008

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