# BIOFOURMIS CARE NJ LLC

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

## Provider details

- **NPI number:** 1528728375
- **Authorized official:** DEVION SMITH (DIRECTOR, PAYER CONTRACTING)
- **Authorized official phone:** (424) 326-8711

## Contact information

- **Practice address:** 820 BEAR TAVERN RD, EWING, NJ 08628-1021
- **Practice address phone:** (855) 770-7771
- **Practice address fax:** (855) 770-7771
- **Mailing address:** 33 ARCH ST, BOSTON, MA 02110-1424
- **Mailing address phone:** (310) 626-0149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |

## Other

- **Enumeration date:** 12/21/2021
- **Last updated:** 11/15/2022