Integra Medical Group LLC

NPI #1720361884 in Ridgewood, New Jersey

Provider Information

NPI Number
1720361884
Entity Type
Organization
Organization Name
Integra Medical Group LLC
Primary Specialty
Internal Medicine
Enumeration Date
Sep 26, 2011
Last Updated
Nov 3, 2014

Practice Location

Address
1124 E RIDGEWOOD AVE
Address 2
SUITE 103
ZIP Code
07450-3915
Phone
(201) 447-7348

Authorized Official

Name
LADAN BAHRAMPOUR
Title
MD
Phone
(201) 447-7348

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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