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INFECTIOUS DISEASE GROUP OF NORTH JERSEY NPI 1083668479


NPI Information

NPI: 1083668479
Provider Name: INFECTIOUS DISEASE GROUP OF NORTH JERSEY
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
631 BROADWAY
BAYONNE, NJ
ZIP 07002
Phone: (239) 597-0704
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INFECTIOUS DISEASE GROUP OF NORTH JERSEY is an infectious disease internal medicine in Bayonne, NJ. The provider is 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. INFECTIOUS DISEASE GROUP OF NORTH JERSEY NPI is 1083668479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

631 BROADWAY
BAYONNE, NJ
ZIP 07002-846
Phone: (239) 597-0704
Fax: (239) 597-0704

The provider's authorized official is Jack Boghossian .
The authorized official title is President and has the following contact phone number (239) 597-0704.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 11/18/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18491305MEDICAIDNEW JERSEY

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: 5/5/2024

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