Organization
INTERMEDICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DING (OWNER)
(917) 204-2722
Entity
Organization
Contact information
Practice address
835 HARRISTOWN RD, GLEN ROCK, NJ 07452-2424
(201) 857-8416
Mailing address
835 HARRISTOWN RD, GLEN ROCK, NJ 07452-2424
(201) 857-8416
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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