New Jersey Keystone Physicians,llc

NPI 1457547887 - Family Medicine - 207Q00000X

NPI Details
NPI 1457547887
Enumeration Date 09/19/2007
Last Updated 05/28/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TINA TINA
Position OFFICE MANAGER
Phone (201) 447-3690
Fax (201) 447-3691
Practice Location
1200 E RIDGEWOOD AVE
WEST WING, SECOND FLOOR
RIDGEWOOD NJ, 07450-3957, US
Phone (201) 447-3690
Fax (201) 447-3691
Business Location
PO BOX 115
RIDGEWOOD NJ, 07451-0115, US
Phone (201) 447-3690
Fax (201) 447-3691
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number 25MAO7320300
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According to our database, New Jersey Keystone Physicians,llc NPI is 1457547887, taxonomy code is 207Q00000X and license number is 25MAO7320300, license state is located at New Jersey. New Jersey Keystone Physicians,llc physically located at 1200 E Ridgewood Ave, Ridgewood NJ, 07450-3957. NPI Number 1033115704 has the healthcare provider type.

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1457547887 NPI number is provided on an as is basis without warranty of any kind. 1457547887 is maintained by the National Plan & Provider Enumeration System. The contents of New Jersey Keystone Physicians,llc are for informational purposes only.