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NPI Code Detail

MEDICARE: CHANGEBRIDGE MEDICAL ASSOCIATES PA

MEDICARE: CHANGEBRIDGE MEDICAL ASSOCIATES PA
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
1207Q00000XFamily Medicine Physician

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 : 1942424783
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHANGEBRIDGE MEDICAL ASSOCIATES PA
Provider Business Mailing Address
First Line : 170 CHANGEBRIDGE RD
Second Line : SUITE C-3
City : MONTVILLE
State : NJ
Zip : 07045-9112
Country : US
Telephone Number : 973-575-5540
Fax Number : 975-575-4885
Provider Business Practice Location Address
First Line : 170 CHANGEBRIDGE RD.
Second Line : SUITE C-3
City : MONTVILLE
State : NJ
Zip : 07045-9112
Country : US
Telephone Number : 973-575-5540
Fax Number : 973-575-4885
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. ARNOLD PALLAY
Credential : M.D
Telephone Number : 973-575-5540
Provider Enumeration Date : 04/12/2007
Last Update Date : 09/03/2009

Similar Medicare Providers

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Practice Location Address:
170 CHANGEBRIDGE RD BLDG C3
MONTVILLE, NJ
07045-9112
Practice Phone: 888-829-8550
Practice Fax:
1386685808 — MRS. GENEVIEVE S. CASTANEDA PA-C
Practice Location Address:
170 CHANGEBRIDGE RD BLDG C3
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Practice Phone: 973-575-5540
Practice Fax: 973-575-4885
1538105960 — DR. ARNOLD I PALLAY MD
Practice Location Address:
170 CHANGEBRIDGE RD BLDG C3
MONTVILLE, NJ
07045-9112
Practice Phone: 973-575-5540
Practice Fax: 973-575-4885
1881621217 — DR. FRANK IANNETTA M.D
Practice Location Address:
170 CHANGEBRIDGE RD BLDG C3
MONTVILLE, NJ
07045-9112
Practice Phone: 973-575-5540
Practice Fax: 973-575-4885
1760571483 — DR. ANAHITA ZIMMERMAN MD
Practice Location Address:
170 CHANGEBRIDGE RD BLDG C3
MONTVILLE, NJ
07045-9112
Practice Phone: 973-575-5540
Practice Fax: 973-575-4885
1053535880 — ANNA CHUNG PA-C
Practice Location Address:
170 CHANGEBRIDGE RD BLDG C3
MONTVILLE, NJ
07045-9112
Practice Phone: 973-575-5540
Practice Fax: 973-575-4885

Directions to “CHANGEBRIDGE MEDICAL ASSOCIATES PA ” Practice Location

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