| Infectious Diseases Services Of New Jersey Llc | |
|
511 S Orange Ave South Orange NJ 07079-2636 | |
| (973) 200-3600 | |
| (973) 821-3651 |
| Full Name | Infectious Diseases Services Of New Jersey Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 511 S Orange Ave, South Orange, New Jersey |
| Authorized Official Name and Position | Mikhail Mouravski (PRACTICE MANAGER) |
| Authorized Official Contact | 9739536673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Services Of New Jersey Llc 511 S Orange Ave South Orange NJ 07079-2636 Ph: (973) 200-3600 | Infectious Diseases Services Of New Jersey Llc 511 S Orange Ave South Orange NJ 07079-2636 Ph: (973) 200-3600 |
| NPI Number | 1053632380 |
|---|---|
| Provider Enumeration Date | 06/22/2010 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053632380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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