Premium Medical Agency Llc in Bloomfield - Adult Medicine
Premium Medical Agency Llc - NPI 1760515639
Premium Medical Agency Llc is a Adult Medicine in Bloomfield, New Jersey. Premium Medical Agency Llc practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Premium Medical Agency Llc is 1760515639. The last update date is 2020-08-22.
Premium Medical Agency Llc's current location address is 237 Bloomfield Ave, Bloomfield, New Jersey. You can contact this provider via phone number 9734948143. The mailing address for Premium Medical Agency Llc is 237 Bloomfield Ave, Bloomfield, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premium Medical Agency Llc |
|---|---|
| Address | 237 Bloomfield Ave, Bloomfield, New Jersey |
| Phone Number | 9734948143 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Robinson Wayne Aaron |
| Telephone Number | 9083433762 |
NPI Number Detail
| NPI Number | 1760515639 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 237 Bloomfield Ave |
|---|---|
| City | Bloomfield |
| State | New Jersey (NJ) |
| Post Code | 70035622 |
| Phone Number | 9734948143 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 25MA02906500 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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What is the Premium Medical Agency Llc's 1760515639?
The Premium Medical Agency Llc's NPI (National Provider Identifier) Number is 1760515639. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Premium Medical Agency Llc?
The Premium Medical Agency Llc is physically situated at 237 Bloomfield Ave, in the city of Bloomfield, state of NJ, with the postal code 70035622.
What is Premium Medical Agency Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Premium Medical Agency Llc is Adult Medicine, and the taxonomy code that classifies this field of practice is 207Qa0505X.
On what date did the Premium Medical Agency Llc receive its 1760515639 assignment from the Centers for Medicare & Medicaid Services?
The Premium Medical Agency Llc was assigned its 1760515639 by the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the Premium Medical Agency Llc's information last updated?
The Premium Medical Agency Llc's information was last updated on 2020-08-22.
NPI Number: 1982607784
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