Healthcare Provider Details
I. General information
NPI: 1770547200
Provider Name (Legal Business Name): RESPIRATORY HEALTH AND CRITICAL CARE ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44 GODWIN AVE SUITE 201
MIDLAND PARK NJ
07432-1969
US
IV. Provider business mailing address
44 GODWIN AVE SUITE 201
MIDLAND PARK NJ
07432-1969
US
V. Phone/Fax
- Phone: 201-689-7755
- Fax: 201-689-0521
- Phone: 201-689-7755
- Fax: 201-689-0521
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARC
S
MELAMED
Title or Position: PHYSICAIN
Credential: MD
Phone: 201-689-7755