PROMD NPI 1134677644

NPI Information

PROMD is an urgent care clinic center in Camden, NJ. PROMD NPI is 1134677644. The provider is registered as an organization entity type.

The provider's business location address is:

608 BERKLEY ST
CAMDEN, NJ
ZIP 08103-414
Phone: (832) 567-1808

The provider's authorized official is Telisha Ortiz .
The authorized official title is Physician Owner and has the following contact phone number (832) 567-1808.

The CLIA number assigned to this NPI record is 39D2105525 - other - comm mental hlth d & a with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2016 and was last updated on 9/13/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.