| Neiha, LLC | |
|
264 Boyden Ave Maplewood NJ 07040-3070 | |
| (973) 759-1221 | |
| (973) 759-1997 |
| Full Name | Neiha, LLC |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 264 Boyden Ave, Maplewood, New Jersey |
| Authorized Official Name and Position | Nader Moaven (CEO) |
| Authorized Official Contact | 9737591221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neiha, LLC 264 Boyden Ave Maplewood NJ 07040-3070 Ph: (973) 759-1221 | Neiha, LLC 264 Boyden Ave Maplewood NJ 07040-3070 Ph: (973) 759-1221 |
| NPI Number | 1972975142 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 10/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972975142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA05812900 (New Jersey) | Primary |
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