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NEW JERSEY TRAVEL CLINIC LLC NPI 1699116392


NPI Information

NPI: 1699116392
Provider Name: NEW JERSEY TRAVEL CLINIC, LLC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
205 BROWERTOWN RD
SUITE #202
WOODLAND PARK, NJ
ZIP 07424
Phone: (201) 345-4550
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NEW JERSEY TRAVEL CLINIC, LLC is an infectious disease internal medicine in Woodland Park, 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. NEW JERSEY TRAVEL CLINIC, LLC NPI is 1699116392. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 BROWERTOWN RD
SUITE #202
WOODLAND PARK, NJ
ZIP 07424-671
Phone: (201) 345-4550

The provider's authorized official is Jacqueline M. Vierheilig .
The authorized official title is Physician and has the following contact phone number (201) 345-4550.

The enumeration date for this NPI number is 7/10/2013 and was last updated on 7/10/2013.


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 Disease25MA06298300NEW JERSEYYes

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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