SUBURBAN FAMILY MEDICINE LLC NPI 1982035093

NPI Information

NPI: 1982035093
Provider Name: SUBURBAN FAMILY MEDICINE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1031 MCBRIDE AVE
SUITE D 210
WOODLAND PARK, NJ
ZIP 07424
Phone: (973) 812-9091
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SUBURBAN FAMILY MEDICINE LLC is a primary care clinic center in Woodland Park, NJ. SUBURBAN FAMILY MEDICINE LLC NPI is 1982035093. The provider is registered as an organization entity type.

The provider's business location address is:

1031 MCBRIDE AVE
SUITE D 210
WOODLAND PARK, NJ
ZIP 07424-559
Phone: (973) 812-9091
Fax: (973) 339-9040

The provider's authorized official is Susan Rae .
The authorized official title is President and has the following contact phone number (973) 812-9091.

The enumeration date for this NPI number is 11/29/2013 and was last updated on 11/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	25MA06609700	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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