Active NPIOrganization

Advanced Infectious Disease Medical, LLC

Internal Medicine, Infectious Disease in Hoboken, New Jersey

NPI Number1730517053
Practice location
331 Grand St, Ground Floor, Hoboken, NJ 07030-2719
Fax
—
Last updated
November 13, 2014

Advanced Infectious Disease Medical, LLC is a healthcare organization based in Hoboken, NJ. Advanced Infectious Disease Medical, LLC practices in Hoboken, NJ. The NPI Number for Advanced Infectious Disease Medical, LLC is 1730517053 and holds a License No. 25MA09020700 (NJ). The current practice location address for Advanced Infectious Disease Medical, LLC is 331 Grand St, Ground Floor, Hoboken, NJ 07030-2719 and can be reached out via phone at 201-238-2888.

Provider Profile Details

NPI Number
1730517053
Provider Name
Advanced Infectious Disease Medical, LLC
Provider Entity Type
Organization
Address
331 Grand St, Ground Floor, Hoboken, NJ 07030-2719
Phone Number
201-238-2888
Primary Taxonomy
Internal Medicine, Infectious Disease · 207RI0200X
Organization Subpart
No
Authorized Official
Dr. Avisheh Forouzesh, MD · Physician · 201-238-2888
Provider Enumeration Date
October 23, 2013
Last Update Date
November 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
331 Grand St
Ground Floor
Hoboken, NJ 07030-2719
Zip
07030-2719
Phone Number
201-238-2888
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
330 Washington St
Pmb #603
Hoboken, NJ 07030-4883
City
Hoboken
State
NJ
Zip
07030-4883
Phone Number
201-238-2888

License Information

License Number
25MA09020700
License State
NJ
Taxonomy
Internal Medicine, Infectious Disease · 207RI0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Advanced Infectious Disease Medical, LLC?

The NPI number of Advanced Infectious Disease Medical, LLC is 1730517053. It was assigned on October 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Advanced Infectious Disease Medical, LLC?

Advanced Infectious Disease Medical, LLC is registered under the primary taxonomy Internal Medicine, Infectious Disease (code 207RI0200X), licensed in NJ under license number 25MA09020700.

Where does Advanced Infectious Disease Medical, LLC practice?

The practice location is 331 Grand St, Ground Floor, Hoboken, NJ 07030-2719. The office can be reached at 201-238-2888 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730517053 directly on the NPPES registry website.

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