Healthcare Provider Details

I. General information

NPI: 1033271291
Provider Name (Legal Business Name): UNION COUNTY HEALTH CARE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SOUTH AVE
GARWOOD NJ
07027-1312
US

IV. Provider business mailing address

300 SOUTH AVE
GARWOOD NJ
07027-1312
US

V. Phone/Fax

Practice location:
  • Phone: 908-232-2273
  • Fax: 908-232-1439
Mailing address:
  • Phone: 908-232-2273
  • Fax: 908-232-1439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA076165
License Number StateNJ

VIII. Authorized Official

Name: DR. KAMRAN TASHAROFI
Title or Position: OWNER
Credential: M.D.
Phone: 732-381-3740