NPI Details | |
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NPI | 1275639031 |
Enumeration Date | 09/16/2006 |
Last Updated | 03/18/2009 |
Entity Type | Healthcare Provider |
Active | Over 11 years ago |
Authorized Information | |
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Name | MARIA C MARIA |
Position | ADMINISTRATOR |
Phone | (973) 778-5566 |
Fax | (973) 778-4044 |
Practice Location | |
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1355 BROAD ST CLIFTON NJ, 07013-4221, US |
|
Phone | (973) 778-5566 |
Fax | (973) 778-4044 |
Business Location | |
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1355 BROAD ST CLIFTON NJ, 07013-4221, US |
|
Phone | (973) 778-5566 |
Fax | (973) 778-4044 |
Toxanomy | |
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Taxonomy Code | 207Q00000X |
License State | |
License Number | |
Remove 1275639031 NPI Number |
According to our database, Immedicenter NPI is 1275639031, taxonomy code is 207Q00000X Immedicenter physically located at 1355 Broad St, Clifton NJ, 07013-4221. NPI Number 1033115704 has the healthcare provider type.
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1275639031 NPI number is provided on an as is basis without warranty of any kind. 1275639031 is maintained by the National Plan & Provider Enumeration System. The contents of Immedicenter are for informational purposes only.
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