525 Medical Group Of New Jersey PC
Family Medicine in New York, NY. Organization (NPI-2).
NPI number1063280634
StatusActive
Last updated in NPPESDec 13, 2023
Details
- NPI
- 1063280634
- Entity type
- Organization (NPI-2)
- Legal business name
- 525 Medical Group Of New Jersey PC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2023
- Certification date
- Dec 13, 2023
- Last updated
- Dec 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Empirical Health (Doing Business As)
Practice location
245 5th Ave Fl 3New York, NY 10016-8728
Phone 929-276-2061
Mailing address
245 5th Ave Fl 3New York, NY 10016-8728
Authorized official
Raquel Rodriguez Martinez
MD
9292762061
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