| Organization Name: | SERETISCARE INC. |
| NPI Number: | 1487758165 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE JOHN SERETIS (PRESIDENT) |
| Mailing Address: | 499 Beckett Rd Suite 201b Logan Township |
| State: | NJ US |
| Postal Code: | 080851766 |
| Phone Number: | 8564676400 |
| Fax Number: | 8564671033 |
| NPI Enumeration Date: | 09/12/2006 |
| NPI Last Update Date: | 07/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MB 65801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |