Immedicenter Bloomfield in Bloomfield - Family Medicine
Immedicenter Bloomfield - NPI 1023114899
Immedicenter Bloomfield is a Family Medicine in Bloomfield, New Jersey. Immedicenter Bloomfield practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Immedicenter Bloomfield is 1023114899. The last update date is 2009-03-18.
Immedicenter Bloomfield's current location address is 557 Broad St, Bloomfield, New Jersey. You can contact this provider via phone number 9736808300 and fax number 9737435601. The mailing address for Immedicenter Bloomfield is 557 Broad St, Bloomfield, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Immedicenter Bloomfield |
|---|---|
| Address | 557 Broad St, Bloomfield, New Jersey |
| Phone Number | 9736808300 |
| Fax Number | 9737435601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Squirlock C Maria |
| Telephone Number | 9737785566 |
NPI Number Detail
| NPI Number | 1023114899 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2009-03-18 |
Provider Mailing Address Detail
| Address | 557 Broad St |
|---|---|
| City | Bloomfield |
| State | New Jersey (NJ) |
| Post Code | 70032885 |
| Phone Number | 9736808300 |
| Fax Number | 9737435601 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB4172 | NJ | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Immedicenter Bloomfield's 1023114899?
The Immedicenter Bloomfield's NPI (National Provider Identifier) Number is 1023114899. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Immedicenter Bloomfield's physical address?
The Immedicenter Bloomfield is physically located at 557 Broad St, in the city of Bloomfield, NJ, with the postal code 70032885.
What is Immedicenter Bloomfield's area of expertise and its corresponding taxonomy classification?
The Immedicenter Bloomfield's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1023114899 to Immedicenter Bloomfield?
The Immedicenter Bloomfield received its 1023114899 assignment from the Centers for Medicare & Medicaid Services on 2006-09-16.
When was the information regarding Immedicenter Bloomfield most recently updated?
The details pertaining to the Immedicenter Bloomfield, including its address, specialty, and other relevant information, were last refreshed on 2009-03-18.
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