1184936924 NPI number — NORTH AMERICA MEDICAL TECHNOLOGY CONSULTATION LLC

Table of content: (NPI 1184936924)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184936924 NPI number — NORTH AMERICA MEDICAL TECHNOLOGY CONSULTATION LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH AMERICA MEDICAL TECHNOLOGY CONSULTATION LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1184936924
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/04/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 34
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARLBORO
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07746-0034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
848-863-8700
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3 HOSPITAL PLZ STE 312
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLD BRIDGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08857-3096
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
848-863-8700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/09/2010

Additional Information

Authorized Official

Authorized Official Last Name:
LI
Authorized Official First Name:
JUN
Authorized Official Middle Name:
Authorized Official Title or Position:
DOCTOR
Authorized Official Telephone Number:
848-863-8700

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  25MA07743 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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