31D0999628 CLIA NUMBER - ID CARE PA

Laboratory Demographics

CLIA Number: 31D0999628

Facility Name: ID CARE PA

Facility Address:
105 RAIDER BLVD SUITE 101
HILLSBOROUGH, NJ
ZIP 08844
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Facility Phone Number: 908 725-2522

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639146277

Taxonomy: 207RI0200X - Internal Medicine
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

CLIA Record

Field Name	Field Value
CLIA Number	31D0999628
LAB Type	Physician Office
Facility Name	ID CARE PA
Street	105 RAIDER BLVD SUITE 101
City	HILLSBOROUGH
State	NJ
ZIP	08844
Phone	908 725-2522
CertificateType	4
CertificateEffectiveDate	5/17/2022
CertificateExpirationDate	5/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024