Irvington Primary Care Llc

NPI 1134563836 - Clinic/Center - 261Q00000X

NPI Details
NPI 1134563836
Enumeration Date 04/24/2013
Last Updated 10/14/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name TAZZEEN TAZZEEN
Position PRESIDENT/OFFICE MANAGER
Phone (732) 388-2181
Fax
Practice Location
50 UNION AVE
SUITE 605
IRVINGTON NJ, 07111-3262, US
Phone (732) 388-2181
Fax
Business Location
196 W SHIRLEY AVE
EDISON NJ, 08820-1323, US
Phone (732) 388-2181
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
Remove 1134563836 NPI Number
 

According to our database, Irvington Primary Care Llc NPI is 1134563836, taxonomy code is 261Q00000X Irvington Primary Care Llc physically located at 50 Union Ave, Irvington NJ, 07111-3262. NPI Number 1033115704 has the healthcare provider type.

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1134563836 NPI number is provided on an as is basis without warranty of any kind. 1134563836 is maintained by the National Plan & Provider Enumeration System. The contents of Irvington Primary Care Llc are for informational purposes only.