Immedicenter

LBN: Immedicenter
Immedicenter is an health care organization with primary practice located at 1355 Broad St , Clifton NJ 07013-4221. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Immedicenter can be contacted via phone (973) 778-5566, or through Squirlock, Maria C via phone (973) 778-5566.

Contact Information

Primary practice address
1355 Broad St Clifton NJ 07013-4221
Phone: (973) 778-5566
Fax: (973) 778-4044
Website:
Map and Directions
Authorized official contact:
Name: Squirlock, Maria C
Phone: (973) 778-5566

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1275639031
LBN Legal business name Immedicenter
DBA Doing business as
Authorized official Squirlock, Maria C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Mar 18th, 2009 - about 15 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 1275639031 NPPES
New Jersey Other CB7304 RAILROAD MEDICARE

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