Organization
INTEGRATED MEDICAL ASSOCIATES LLC
Active
Other names
na
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROWEN GUMAPAS DIANO MD (OWNER)
(973) 744-7337
Entity
Organization
Contact information
Practice address
48 N FULLERTON AVE, MONTCLAIR, NJ 07042-3411
(973) 744-7337
(973) 744-5035
Mailing address
48 N FULLERTON AVE, MONTCLAIR, NJ 07042-3411
(973) 744-7337
(973) 744-5035
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA69300
NJ
Other
Enumeration date
04/02/2007
Last updated
08/13/2012
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