Organization
LIFE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSMARO J RUIZ (PRESIDENT)
(812) 207-3399
Entity
Organization
Contact information
Practice address
1139 E JERSEY ST STE 408, ELIZABETH, NJ 07201-2446
(812) 207-3399
Mailing address
1139 E JERSEY ST STE 408, ELIZABETH, NJ 07201-2446
(812) 207-3399
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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