Autumn Ridge Primary Care Llc

LBN: Autumn Ridge Primary Care Llc
Autumn Ridge Primary Care Llc is an health care organization with primary practice located at 3350 Hwy 138 Ste 217 , Wall Township NJ 07719-9694. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Autumn Ridge Primary Care Llc can be contacted via phone (732) 974-1980, or through Siciliano, Janice via phone (732) 974-1980.

Contact Information

Primary practice address
3350 Hwy 138 Ste 217 Wall Township NJ 07719-9694
Phone: (732) 974-1980
Fax: (732) 974-8020
Website:
Map and Directions
Authorized official contact:
Name: Siciliano, Janice Doctor of Osteopathy (DO)
Phone: (732) 974-1980

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1306471065
LBN Legal business name Autumn Ridge Primary Care Llc
DBA Doing business as
Authorized official Siciliano, Janice Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2020
Last updated Aug 31st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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