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PREMISE HEALTH OF NEW JERSEY MEDICAL P.C NPI 1376985515


NPI Information

NPI: 1376985515
Provider Name: PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C

Doing Business As: WHQ OCCUPATIONAL HEALTH CENTER

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 31D2062105

Address:
1 CAMPBELL PL # 35
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-4806
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PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C is an occupational medicine clinic center in Camden, NJ. PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C NPI is 1376985515. The provider is registered as an organization entity type.
The provider Is Doing Business As Whq Occupational Health Center.

The provider's business location address is:

1 CAMPBELL PL # 35
CAMDEN, NJ
ZIP 08103-701
Phone: (856) 342-4806
Fax: (856) 342-3772

The provider's authorized official is Jon B Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 31D2062105 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2013 and was last updated on 8/23/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QX0100XClinic/CenterOccupational MedicineYes

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: 4/28/2024

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