Organization
MEDCOM HEALTH SERVICES, LLC
Active
Parent organization
MEDCOM HEALTH SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDCOM HEALTH SERVICES, LLC
Authorized official
ILYAS RAJPUT MD (OWNER)
(609) 646-4064
Entity
Organization
Contact information
Practice address
258 N NEW RD, PLEASANTVILLE, NJ 08232-2170
(609) 646-4064
Mailing address
258 N NEW RD, PLEASANTVILLE, NJ 08232-2170
(609) 646-4064
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6237002
—
NJ
Enumeration date
09/24/2008
Last updated
09/24/2008
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