Organization
INTERNATIONAL ID ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD S JOHNSON MD (PRESIDENT)
(973) 759-8700
Entity
Organization
Contact information
Practice address
5 FRANKLIN AVE, STE 103, BELLEVILLE, NJ 07109
(973) 751-3399
Mailing address
1050 WALL ST W STE 360, LYNDHURST, NJ 07071-3604
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
03/20/2006
Last updated
01/17/2019
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