Healthcare Provider Details

I. General information

NPI: 1902095839
Provider Name (Legal Business Name): NEW JERSEY HYPERBARIC OXYGEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 10/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 ROUTE 10 SUITE 2
PARSIPPANY NJ
07054-5304
US

IV. Provider business mailing address

2200 ROUTE 10 SUITE 2
PARSIPPANY NJ
07054-5304
US

V. Phone/Fax

Practice location:
  • Phone: 973-401-1800
  • Fax: 973-401-1878
Mailing address:
  • Phone: 973-401-1800
  • Fax: 973-401-1878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License NumberMA073490
License Number StateNJ

VIII. Authorized Official

Name: DR. JULIA BRAMWELL
Title or Position: PRESIDENT
Credential: MD
Phone: 973-401-1800