Organization Name: | AM PM WALK-IN URGENT CARE CLINIC |
NPI Number: | 1073853859 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WESLEY K THEK (OWNER/CEO) |
Mailing Address: | 19 S Washington Ave Bergenfield |
State: | NJ US |
Postal Code: | 076212324 |
Phone Number: | 2019231177 |
Fax Number: | 4174292893 |
NPI Enumeration Date: | 02/15/2013 |
NPI Last Update Date: | 02/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 25MA06949100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |