Healthcare Provider Details

I. General information

NPI: 1881644805
Provider Name (Legal Business Name): IMMEDIATE CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MOUNT PROSPECT AVE
CLIFTON NJ
07013-1900
US

IV. Provider business mailing address

50 MOUNT PROSPECT AVE
CLIFTON NJ
07013-1900
US

V. Phone/Fax

Practice location:
  • Phone: 973-249-6969
  • Fax: 973-249-9988
Mailing address:
  • Phone: 973-249-6969
  • Fax: 973-249-9988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number25MA04315200
License Number StateNJ

VIII. Authorized Official

Name: DR. MEDHAT EL-AMIR
Title or Position: OWNER
Credential: MD
Phone: 973-249-6969