Healthcare Provider Details

I. General information

NPI: 1255608980
Provider Name (Legal Business Name): ONCALL PHYSICIAN STAFFING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2011
Last Update Date: 02/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 WILLIAMSON ST
ELIZABETH NJ
07202-3625
US

IV. Provider business mailing address

1555 BARDSEY DR
LOWER GWYNEDD PA
19002-1546
US

V. Phone/Fax

Practice location:
  • Phone: 908-994-5000
  • Fax:
Mailing address:
  • Phone: 215-542-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: MRS. JUDY A MURRIN
Title or Position: BILLING MANAGER
Credential:
Phone: 610-283-7007