Organization Name: | MEADOW HEALTH |
NPI Number: | 1356581987 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IRENE L CUETO (MEMEBER) |
Mailing Address: | 2279 Highway 33 Suite 505 Hamilton |
State: | NJ US |
Postal Code: | 086901750 |
Phone Number: | 6092492900 |
Fax Number: | 6092492901 |
NPI Enumeration Date: | 02/23/2009 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |