Organization
IMMEDI-CARE PA
Active
Organization
IMMEDI-CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIMITRA DENISE PALLIS (DIRECTOR OF CREDENTIALING)
(201) 874-9084
Entity
Organization
Contact information
Practice address
360 AVENUE P FL 3, NEWARK, NJ 07105
(973) 643-8383
(973) 491-6099
Mailing address
PO BOX 1296, CLIFTON, NJ 07012-0796
(973) 643-8383
(973) 491-6099
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
07/18/2018
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