Organization Name: | EMPIRE MEDICAL URGENTCARE CENTER LLC |
NPI Number: | 1043691736 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NADER MOAVEN (CEO/PRESIDENT) |
Mailing Address: | 264 Boyden Ave Maplewood |
State: | NJ US |
Postal Code: | 070403070 |
Phone Number: | 9737615200 |
Fax Number: | 9737610112 |
NPI Enumeration Date: | 06/18/2015 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |