Healthcare Provider Details
I. General information
NPI: 1093242703
Provider Name (Legal Business Name): PEOPLE CARE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2017
Last Update Date: 05/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
323 BELLEVILLE AVE
BLOOMFIELD NJ
07003-3648
US
IV. Provider business mailing address
9 BURNETT RD
MENDHAM NJ
07945-3111
US
V. Phone/Fax
- Phone: 732-967-3429
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
FRANTZ
PIERRE-LOUIS
Title or Position: OWNER
Credential: MD
Phone: 347-232-7297