Deptford Internal Medicine Associates LLC
NPI #1346725561 in Deptford, New Jersey
Provider Information
- NPI Number
- 1346725561
- Entity Type
- Organization
- Organization Name
- Deptford Internal Medicine Associates LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 3, 2018
- Last Updated
- Oct 3, 2018
Practice Location
- Address
- 1132 COOPER STREET SUITE THREE
- City
- Deptford
- State
- New Jersey
- ZIP Code
- 08096-3014
- Phone
- (856) 848-8060
Authorized Official
- Name
- IMRAN AZAM MIRZA, MD
- Title
- OWNER
- Phone
- (732) 743-5910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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