Organization · Type 2 NPI
Idama Healthcare
Health Service Clinic/Center · South Orange, NJ
NPI number
1093289852
Active
Practice location
4 S Orange Ave Suite 253
South Orange, NJ 07079-1702
Fax (862) 367-8367
Mailing address
4 S Orange Ave # 253
South Orange, NJ 07079-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1093289852
Idama Healthcare's National Provider Identifier is 1093289852, issued on Jan 15, 2019. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in South Orange, NJ. The record was last updated on May 20, 2020.