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31D0102735 CLIA NUMBER - SIMONE-CONDO PA

Laboratory Demographics

CLIA Number: 31D0102735

Facility Name: SIMONE-CONDO PA

Facility Address:
622 BROADWAY
BAYONNE, NJ
ZIP 07002
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Facility Phone Number: 201 436-2800

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1588764500

Taxonomy: 207R00000X - Internal Medicine
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 diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 31D0102735
LAB Type Physician Office
Facility Name SIMONE-CONDO PA
Street 622 BROADWAY
City BAYONNE
State NJ
ZIP 07002
Phone 201 436-2800
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024