# INTERNATIONAL ID ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134188162
- **Authorized official:** EDWARD S JOHNSON MD (PRESIDENT)
- **Authorized official phone:** (973) 759-8700

## Contact information

- **Practice address:** 5 FRANKLIN AVE, STE 103, BELLEVILLE, NJ 07109
- **Practice address phone:** (973) 751-3399
- **Mailing address:** 1050 WALL ST W STE 360, LYNDHURST, NJ 07071-3604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2006
- **Last updated:** 01/17/2019
