Organization · NPI-2

9amhealth Medical Group Of New Jersey, P.C.

Internal Medicine · Encinitas, CA

NPI number1134822729

StatusActive

Last updated in NPPESMar 23, 2023

Details

NPI: 1134822729
Entity type: Organization (NPI-2)
Legal business name: 9amhealth Medical Group Of New Jersey, P.C.
Organization subpart: No
Enumeration date: Mar 23, 2023
Certification date: Mar 23, 2023
Last updated: Mar 23, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
207RE0101X	Internal Medicine, Endocrinology, Diabetes & Metabolism	–	–
208D00000X	General Practice	–	–
261QM1300X	Clinic/Center, Multi-Specialty	–	–

Practice location

914 N Coast Highway 101 Ste A
Encinitas, CA 92024-2074

Phone 202-932-9958 · Fax 844-927-4824

Mailing address

914 N Coast Highway 101 Ste A
Encinitas, CA 92024-2074

Phone 202-932-9958 · Fax 844-927-4824

Authorized official

Daniel Distefano
Operations Manager
3804009215

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