Organization
ITSERGA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES V AGRESTI III MD (PRESIDENT)
(973) 284-0777
Entity
Organization
Contact information
Practice address
181 FRANKLIN AVE, SUITE#201, NUTLEY, NJ 07110-3820
(973) 284-0777
(973) 284-1530
Mailing address
181 FRANKLIN AVE, SUITE#201, NUTLEY, NJ 07110-3820
(973) 284-0777
(973) 284-1530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07826100
NJ
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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