Organization
IPM NURSE REGISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MISHEL (OPERATIONS MANAGER)
(888) 822-7428
Entity
Organization
Contact information
Practice address
1401 VALLEY RD STE 2, WAYNE, NJ 07470-2074
(888) 822-7428
Mailing address
1401 VALLEY RD STE 2, WAYNE, NJ 07470-2074
(888) 822-7428
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450455178
STATE OF NEW JERSEYDEPARTMENT OF THE TREASURY FILING CERTIFICATION
NJ
Enumeration date
12/29/2021
Last updated
12/29/2021
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