Medconsults Llc | |
61 N Maple Ave Ridgewood NJ 07450-3255 | |
(201) 445-7070 | |
(201) 612-8454 |
Full Name | Medconsults Llc |
---|---|
Speciality | Internal Medicine |
Location | 61 N Maple Ave, Ridgewood, New Jersey |
Authorized Official Name and Position | Ladan H Bahrampour (MD/OWNER) |
Authorized Official Contact | 9738268291 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Medconsults Llc Po Box 4737 Wayne NJ 07474-4737 Ph: (973) 826-8291 | Medconsults Llc 61 N Maple Ave Ridgewood NJ 07450-3255 Ph: (201) 445-7070 |
NPI Number | 1801021027 |
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Provider Enumeration Date | 05/18/2009 |
Last Update Date | 07/29/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801021027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA07654700 (New Jersey) | Primary |
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