| Puremed Llc | |
|
200 Engle St Englewood NJ 07631-2440 | |
| (201) 608-5284 | |
| (201) 608-5289 |
| Full Name | Puremed Llc |
|---|---|
| Speciality | General Practice |
| Location | 200 Engle St, Englewood, New Jersey |
| Authorized Official Name and Position | Hormoz Mohtashemi (OWNER/ MEDICAL DIRECTOR) |
| Authorized Official Contact | 2016085284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puremed Llc 200 Engle St Suite 21 Englewood NJ 07631-2440 Ph: (201) 608-5284 | Puremed Llc 200 Engle St Englewood NJ 07631-2440 Ph: (201) 608-5284 |
| NPI Number | 1255738050 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255738050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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