Healthcare Provider Details

I. General information

NPI: 1720632128
Provider Name (Legal Business Name): OUR MEMOS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 BOLLEN CT
PENNINGTON NJ
08534-5234
US

IV. Provider business mailing address

101 BOLLEN CT
PENNINGTON NJ
08534-5234
US

V. Phone/Fax

Practice location:
  • Phone: 609-902-8400
  • Fax:
Mailing address:
  • Phone: 609-902-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: FAYEZ AZEEZ
Title or Position: CEO
Credential:
Phone: 609-902-8400