Organization
INPATIENT MEDICAL ASSOCIATES OF PASSAIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS RONAN (VICE PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(469) 401-2386
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/21/2013
Last updated
04/16/2015
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