Organization
INTEGRATED HEALTHCARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER G ZAZZALI M.D. (PRESIDENT)
(973) 667-8493
Entity
Organization
Contact information
Practice address
670 FRANKLIN AVE, NUTLEY, NJ 07110-1259
(973) 667-8493
Mailing address
PO BOX 598, NUTLEY, NJ 07110-0598
(973) 667-8493
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8152004
—
NJ
Enumeration date
02/26/2008
Last updated
12/06/2016
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