Optimal Medical Associates Llc

NPI 1235543505 - Clinic/Center - 261QM2500X

NPI Details
NPI 1235543505
Enumeration Date 06/16/2014
Last Updated 06/16/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JAMES KIPP JAMES
Position OWNER
Phone (732) 814-9807
Fax
Practice Location
1640 ROUTE 88
SUITE 203
BRICK NJ, 08724-3068, US
Phone (732) 814-9807
Fax
Business Location
1640 ROUTE 88
SUITE 203
BRICK NJ, 08724-3068, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM2500X
License State New Jersey
License Number 25MA03492800
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According to our database, Optimal Medical Associates Llc NPI is 1235543505, taxonomy code is 261QM2500X and license number is 25MA03492800, license state is located at New Jersey. Optimal Medical Associates Llc physically located at 1640 Route 88, Brick NJ, 08724-3068. NPI Number 1033115704 has the healthcare provider type.

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1235543505 NPI number is provided on an as is basis without warranty of any kind. 1235543505 is maintained by the National Plan & Provider Enumeration System. The contents of Optimal Medical Associates Llc are for informational purposes only.