Organization · NPI-2

Aeg Medical Solutions INC.

Internal Medicine · West Orange, NJ

NPI number1265205983
StatusActive
Last updated in NPPESNov 3, 2023

Details

NPI
1265205983
Entity type
Organization (NPI-2)
Legal business name
Aeg Medical Solutions INC.
Organization subpart
No
Enumeration date
Nov 3, 2023
Certification date
Nov 3, 2023
Last updated
Nov 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

386 Valley Rd Ste 3
West Orange, NJ 07052-5303

Phone 973-763-3522 · Fax 973-673-0018

Mailing address

386 Valley Rd Ste 3
West Orange, NJ 07052-5303

Phone 973-763-3522 · Fax 973-673-0018

Authorized official

Abel Ernesto Gonzalez
President
2013595385

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