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1720361884
INTEGRA MEDICAL GROUP LLC
RIDGEWOOD, NJ
NPI
1720361884
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Entity Type
Organization
Authorized Contact
LADAN BAHRAMPOUR
Md
201-447-7348
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA07654700)
Enumeration Date
2011-09-26
Last Update Date
2014-11-03
Business Address
INTEGRA MEDICAL GROUP LLC
1124 E RIDGEWOOD AVE SUITE 103
RIDGEWOOD, NJ 07450-3915
Phone number: 201-447-7348
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Mailing Address
INTEGRA MEDICAL GROUP LLC
PO BOX 741
FRANKLIN LAKES, NJ 07417-0741
Phone number: 973-476-7527
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