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NPI Code Detail

MEDICARE: VALLEY EMERGENCY ASSOC PA

MEDICARE: VALLEY EMERGENCY ASSOC PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770532665
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY EMERGENCY ASSOC PA
Provider Business Mailing Address
First Line : 61 N MAPLE AVE STE 305
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-3232
Country : US
Telephone Number : 201-444-2019
Fax Number : 201-444-3604
Provider Business Practice Location Address
First Line : 4 VALLEY HEALTH PLZ
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-3619
Country : US
Telephone Number : 201-447-8737
Fax Number : 201-444-3604
Authorized Official
Title or Position : PRESIDENT
Name : MARC DREIER
Credential : MD
Telephone Number : 201-444-2109
Provider Enumeration Date : 05/08/2006
Last Update Date : 04/16/2024

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Directions to “VALLEY EMERGENCY ASSOC PA ” Practice Location

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