Jetstream Emergency Physicians, LLC
Emergency Medicine in Paramus, NJ. Organization (NPI-2).
NPI number1598138331
StatusActive
Last updated in NPPESNov 18, 2015
Details
- NPI
- 1598138331
- Entity type
- Organization (NPI-2)
- Legal business name
- Jetstream Emergency Physicians, LLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2015
- Last updated
- Nov 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
230 E Ridgewood AveParamus, NJ 07652-4142
Phone 469-401-2386
Mailing address
Po Box 80087Philadelphia, PA 19101-0087
Phone 469-401-2386
Authorized official
Russell Harris, MD
Officer
4694012386
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