Whalio Doctors

NPI 1255738050

Puremed LLC

Organisation General Practice Physician Englewood, NJ

Practice location

Address
200 Engle St, Englewood, NJ 07631-2440
Phone
(201) 608-5284
Fax
(201) 608-5289
Mailing address
200 Engle St Suite 21, Englewood, NJ 07631-2440

Authorised official

Name
Hormoz Mohtashemi
Title
Owner/ Medical Director
Phone
(201) 608-5284

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Registry record

NPI
1255738050
Entity type
Organization
NPI issued
24 Nov 2014
Record last updated
5 Feb 2015

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.