Promd

LBN: Promd
Promd is an health care organization with primary practice located at 608 Berkley St , Camden NJ 08103-1414. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Promd can be contacted via phone (832) 567-1808, or through Ortiz, Telisha via phone (832) 567-1808.

Contact Information

Primary practice address
608 Berkley St Camden NJ 08103-1414
Phone: (832) 567-1808
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ortiz, Telisha Doctor of Medicine (MD)
Phone: (832) 567-1808

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X MD456019 Pennsylvania

Profile Details

NPI number 1134677644
LBN Legal business name Promd
DBA Doing business as
Authorized official Ortiz, Telisha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2016
Last updated Sep 13th, 2016 - about 9 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 1134677644 NPPES
Pennsylvania MEDICAID 1306257001

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