Organization

Immedi-care Pa

Health Service Clinic/Center in Newark, NJ(View on Map)

Legal Business Name

Immedi-care Pa

NPI Number

1063670578

NPI Type

Organization

Enumeration Date

05/30/2008

Specialties

(Taxonomies)

Code

261QH0100X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1296
360 AVENUE P FL 3

City

Clifton
Newark

State

NJ
NJ

Postal Code

07012-0796
07105

Country

US
US

Telephone Number

(973) 643-8383
(973) 643-8383

Authorized Official

Name

Ms. Dimitra Pallis

Title or Position

DIRECTOR OF CREDENTIALING

Telephone Number

(201) 874-9084

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/18/2018

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