Essex County Infectious Disease

LBN: Essex County Infectious Disease
Essex County Infectious Disease is an health care organization with primary practice located at 199 Broad St Suite 2A, Bloomfield NJ 07003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Essex County Infectious Disease can be contacted via phone (973) 748-4583, or through Soroko, Theresa Ann via phone (973) 748-4583.

Contact Information

Primary practice address
199 Broad St Suite 2A Bloomfield NJ 07003
Phone: (973) 748-4583
Fax: (973) 748-3243
Website:
Map and Directions
Authorized official contact:
Name: Soroko, Theresa Ann MD CEO CMO
Phone: (973) 748-4583

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1982626008
LBN Legal business name Essex County Infectious Disease
DBA Doing business as
Authorized official Soroko, Theresa Ann MD CEO CMO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982626008 NPPES
New Jersey MEDICAID 3442802

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