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Organization

INSTITUTE OF PULMONARY MEDICINE, LLC

Active
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Organization

INSTITUTE OF PULMONARY MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RENUKA N MAPITIGAMA M.D. (PRESIDENT)
(201) 312-5243
Entity
Organization

Contact information

Practice address
1 W RIDGEWOOD AVE, SUITE 203, PARAMUS, NJ 07652-2359
(201) 312-5243
(201) 444-8560
Mailing address
26 CHESTNUT RIDGE RD, SUITE 103, MONTVALE, NJ 07645-1825
(201) 312-5243
(201) 444-8560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07536900
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA07536900
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA07536900
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MA07536900
NJ

Other

Enumeration date
02/02/2011
Last updated
02/02/2011
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