Healthcare Provider Details
I. General information
NPI: 1508023763
Provider Name (Legal Business Name): AMERICAN HEALTHCARE SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2008
Last Update Date: 05/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 N BROAD ST SUITE 202
ELIZABETH NJ
07208-2310
US
IV. Provider business mailing address
1 ALPHA AVE SUITE 20
VOORHEES NJ
08043-1049
US
V. Phone/Fax
- Phone: 908-352-2992
- Fax: 908-352-2990
- Phone: 856-616-8836
- Fax: 856-427-6181
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NANCY
LUKE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 856-616-2393