Src Pending Consult Management in Lakewood - Clinic/center

Src Pending Consult Management - NPI 1366433534

Src Pending Consult Management is a Clinic/center in Lakewood, New Jersey. Src Pending Consult Management practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Src Pending Consult Management is 1366433534. The last update date is 2020-08-22.

Src Pending Consult Management's current location address is 1312 Paris Ct, Lakewood, New Jersey. You can contact this provider via phone number 7322677737. The mailing address for Src Pending Consult Management is 1312 Paris Ct, Lakewood, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Src Pending Consult Management
Address 1312 Paris Ct, Lakewood, New Jersey
Phone Number 7322677737
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CASE MANAG
Authorized Official Name Cherry Christala
Credentials RN, BSN
Telephone Number 6095626312

NPI Number Detail

NPI Number 1366433534
Provider Enumeration Date 2005-11-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1312 Paris Ct
City Lakewood
State New Jersey (NJ)
Post Code 87013724
Phone Number 7322677737
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 26NR09534400
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

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FAQs about Src Pending Consult Management

What is the unique identification code assigned to Src Pending Consult Management by the Centers for Medicare & Medicaid Services?

The Src Pending Consult Management has been issued the NPI (National Provider Identifier) 1366433534. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Src Pending Consult Management's facilities are geographically located?

The facilities of Src Pending Consult Management are physically situated at the following location: 1312 Paris Ct, Lakewood, NJ, 87013724.

What is Src Pending Consult Management's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Src Pending Consult Management is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.

On what date did the Src Pending Consult Management receive the assignment of its 1366433534 from the Centers for Medicare & Medicaid Services?

The Src Pending Consult Management was issued its 1366433534 by the Centers for Medicare & Medicaid Services on 2005-11-04.

As of what date was the information regarding Src Pending Consult Management, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Src Pending Consult Management, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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