| NPI Details | |
|---|---|
| NPI | 1275639031 |
| Enumeration Date | 09/16/2006 |
| Last Updated | 03/18/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | MARIA C MARIA |
| Position | ADMINISTRATOR |
| Phone | (973) 778-5566 |
| Fax | (973) 778-4044 |
| Practice Location | |
|---|---|
| 1355 BROAD ST CLIFTON NJ, 07013-4221, US |
|
| Phone | (973) 778-5566 |
| Fax | (973) 778-4044 |
| Business Location | |
|---|---|
| 1355 BROAD ST CLIFTON NJ, 07013-4221, US |
|
| Phone | (973) 778-5566 |
| Fax | (973) 778-4044 |
| Toxanomy | |
|---|---|
| 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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