NPI 1215340310
Community Health and Immunization Services
Practice location
- Address
- 401a S van Brunt St Suite 202b, Englewood, NJ 07631-4600
- Phone
- (201) 603-9996
- Mailing address
- 668 N 44th St STE 100w, Phoenix, AZ 85008-6507
Authorised official
- Name
- Rebekah Suazo
- Title
- Medical Billing Supervisor
- Phone
- (480) 646-9099
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1215340310
- Entity type
- Organization
- NPI issued
- 5 Jun 2014
- Record last updated
- 8 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.