Island Medical Associates,Pa in Egg Harbor Twp - Addiction Medicine
Island Medical Associates,Pa - NPI 1740292119
Island Medical Associates,Pa is a Addiction Medicine in Egg Harbor Twp, New Jersey. Island Medical Associates,Pa practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Island Medical Associates,Pa is 1740292119. The last update date is 2011-03-08.
Island Medical Associates,Pa's current location address is 2626 Tilton Rd, Egg Harbor Twp, New Jersey. You can contact this provider via phone number 6095685000 and fax number 6095685015. The mailing address for Island Medical Associates,Pa is 2626 Tilton Rd, Egg Harbor Twp, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Island Medical Associates,Pa |
|---|---|
| Address | 2626 Tilton Rd, Egg Harbor Twp, New Jersey |
| Phone Number | 6095685000 |
| Fax Number | 6095685015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INTERNAL M |
|---|---|
| Authorized Official Name | Kuponiyi O Peter |
| Credentials | MD |
| Telephone Number | 6095685000 |
NPI Number Detail
| NPI Number | 1740292119 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2011-03-08 |
Provider Mailing Address Detail
| Address | 2626 Tilton Rd |
|---|---|
| City | Egg Harbor Twp |
| State | New Jersey (NJ) |
| Post Code | 82341829 |
| Phone Number | 6095685000 |
| Fax Number | 6095685015 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 25MA05948800 |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42102 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Island Medical Associates,Pa by the Centers for Medicare & Medicaid Services?
The Island Medical Associates,Pa has been assigned the NPI (National Provider Identifier) 1740292119. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Island Medical Associates,Pa?
The Island Medical Associates,Pa is situated at 2626 Tilton Rd, in the city of Egg Harbor Twp, state of NJ, with the zip code 82341829.
What is the Island Medical Associates,Pa's specialty and taxonomy code?
The Island Medical Associates,Pa's specialty is Addiction Medicine, and the corresponding taxonomy code is 207Ra0401X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740292119 to Island Medical Associates,Pa?
The Centers for Medicare & Medicaid Services assigned the 1740292119 to Island Medical Associates,Pa on 2006-08-13.
When was the information pertaining to Island Medical Associates,Pa most recently updated or revised?
The details related to Island Medical Associates,Pa, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-08.