Organization
INTEGRATED HEALTHCARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER G ZAZZALI M.D. (PHYSICIAN PRESIDENT)
(973) 844-0511
Entity
Organization
Contact information
Practice address
670 FRANKLIN AVE, NUTLEY, NJ 07110-1259
(973) 844-0511
Mailing address
PO BOX 598, NUTLEY, NJ 07110-0598
(973) 844-0511
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7220103
—
NJ
05
—
8151806
—
NJ
05
—
8152004
—
NJ
05
—
8152101
—
NJ
Enumeration date
03/30/2007
Last updated
02/14/2008
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