NPI 1275639031

Immedicenter

Organisation Family Medicine Physician Clifton, NJ

Practice location

Address: 1355 Broad St, Clifton, NJ 07013-4221
Phone: (973) 778-5566
Fax: (973) 778-4044

Authorised official

Name: Maria C Squirlock
Title: Administrator
Phone: (973) 778-5566

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in New Jersey →

Registry record

NPI: 1275639031
Entity type: Organization
NPI issued: 16 Sep 2006
Record last updated: 18 Mar 2009

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.