Healthcare Provider Details
I. General information
NPI: 1992839732
Provider Name (Legal Business Name): AFTER HOURS MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29 ELMORA AVE
ELIZABETH NJ
07202-2255
US
IV. Provider business mailing address
29 ELMORA AVE
ELIZABETH NJ
07202-2255
US
V. Phone/Fax
- Phone: 908-576-8542
- Fax:
- Phone: 908-576-8542
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 25 MA04682200 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
SALOMON
GALIMIDI-HODARA
Title or Position: PARTNER
Credential: MD
Phone: 908-576-8542