Immedicenter

NPI 1275639031 - Family Medicine - 207Q00000X

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.