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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