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Idama Healthcare
Health Service Clinic/Center in South Orange, New Jersey
NPI 1093289852

Idama Healthcare is a Health Service Clinic/Center based in South Orange, NJ and is specialized in Health Service. Idama Healthcare practices in South Orange, NJ. The NPI Number for Idama Healthcare is 1093289852 and holds a License No. (New Jersey).

The current practice location address for Idama Healthcare is 4 S Orange Ave Suite 253, South Orange, NJ and can be reached out via phone at 862-240-1615 and via fax at 862-367-8367.

Location: 4 S Orange Ave Suite 253, South Orange, NJ, 07079-1702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093289852
Provider Name
Idama Healthcare
Credential
Provider Entity Type
Organization
Address
4 S Orange Ave Suite 253, South Orange, NJ, 07079-1702
Phone Number
862-240-1615
Fax Number
862-367-8367
Provider Enumeration Date
01/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4 S Orange Ave Suite 253
City
South Orange
State
New Jersey
Zip
07079-1702
Phone Number
862-240-1615
Fax Number
862-367-8367
person
Provider Business Mailing Address Details
Address
4 S Orange Ave Suite 253
City
South Orange
State
New Jersey
Zip
07079-1702
Phone Number
862-240-1615
Fax Number
862-367-8367
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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