| Intermedico LLC | |
|
835 Harristown Rd Glen Rock NJ 07452-2424 | |
| (201) 857-8416 | |
| Not Available |
| Full Name | Intermedico LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 835 Harristown Rd, Glen Rock, New Jersey |
| Authorized Official Name and Position | Andrew Ding (OWNER) |
| Authorized Official Contact | 9172042722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermedico LLC 835 Harristown Rd Glen Rock NJ 07452-2424 Ph: (201) 857-8416 | Intermedico LLC 835 Harristown Rd Glen Rock NJ 07452-2424 Ph: (201) 857-8416 |
| NPI Number | 1023760667 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023760667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 207L00000X | Anesthesiology | () | Secondary |
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