Ventnor Physical Medicine, Llc in Linwood - Specialist

Ventnor Physical Medicine, Llc - NPI 1457553133

Ventnor Physical Medicine, Llc is a Specialist in Linwood, New Jersey. Ventnor Physical Medicine, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ventnor Physical Medicine, Llc is 1457553133. The last update date is 2007-07-12.

Ventnor Physical Medicine, Llc's current location address is 2106 New Road, Linwood, New Jersey. You can contact this provider via phone number 6099273355 and fax number 6099273385. The mailing address for Ventnor Physical Medicine, Llc is 2106 New Road, Linwood, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ventnor Physical Medicine, Llc
Address 2106 New Road, Linwood, New Jersey
Phone Number 6099273355
Fax Number 6099273385
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MD
Authorized Official Name Tassone L. Judi
Credentials M.D.
Telephone Number 6099273355

NPI Number Detail

NPI Number 1457553133
Provider Enumeration Date 2007-06-04
Last Updated Date 2007-07-12

Provider Mailing Address Detail

Address 2106 New Road
City Linwood
State New Jersey (NJ)
Post Code 82211052
Phone Number 6099273355
Fax Number 6099273385

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA70714
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8348804 NJ --

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FAQs about Ventnor Physical Medicine, Llc

What is the unique 10-digit identifier code issued to Ventnor Physical Medicine, Llc by the Centers for Medicare & Medicaid Services?

The Ventnor Physical Medicine, Llc has been assigned the NPI (National Provider Identifier) 1457553133 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Ventnor Physical Medicine, Llc located?

The Ventnor Physical Medicine, Llc is located at 2106 New Road, Linwood, NJ 82211052.

What is Ventnor Physical Medicine, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ventnor Physical Medicine, Llc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

When was the Ventnor Physical Medicine, Llc's 1457553133 issued?

The Ventnor Physical Medicine, Llc's 1457553133 was issued on 2007-06-04.

As of what date were the details related to Ventnor Physical Medicine, Llc most recently updated or revised?

The information pertaining to Ventnor Physical Medicine, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-12.

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