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Organization
SERVICES OF PHYSICIANS LLC
Active
Organization
SERVICES OF PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA ROMAN (OWNER)
(732) 247-1106
Entity
Organization
Contact information
Practice address
576 CENTRAL AVE, SUITE 204, EAST ORANGE, NJ 07018-1951
(973) 676-6800
(973) 676-6802
Mailing address
576 CENTRAL AVE, SUITE 204, EAST ORANGE, NJ 07018-1951
(973) 676-6800
(973) 676-6802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107140
—
NJ
01
—
116427
MEDCARE PROVIDER
NJ
Enumeration date
09/25/2007
Last updated
01/16/2009
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