INTEGRA MEDICAL GROUP LLC

RIDGEWOOD, NJ
NPI1720361884
Entity TypeOrganization
Authorized ContactLADAN BAHRAMPOUR
Md
201-447-7348
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA07654700)
Enumeration Date2011-09-26
Last Update Date2014-11-03
Business Address
INTEGRA MEDICAL GROUP LLC
1124 E RIDGEWOOD AVE SUITE 103
RIDGEWOOD, NJ 07450-3915
Phone number: 201-447-7348
Mailing Address
INTEGRA MEDICAL GROUP LLC
PO BOX 741
FRANKLIN LAKES, NJ 07417-0741
Phone number: 973-476-7527