Organization
INTEGRATED MEDICAL CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN PEREZ (ADMINISTRATOR)
(732) 557-0100
Entity
Organization
Contact information
Practice address
803 MAIN ST, TOMS RIVER, NJ 08753-6519
(732) 557-0100
Mailing address
803 MAIN ST, TOMS RIVER, NJ 08753-6519
(732) 557-0100
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
26NJ00017800
NJ
Other
Enumeration date
07/05/2006
Last updated
01/07/2011
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