Healthcare Provider Details

I. General information

NPI: 1073739900
Provider Name (Legal Business Name): URGENTMED, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 MAIN ST
SOUTH BOUND BROOK NJ
08880-1480
US

IV. Provider business mailing address

141 MAIN ST
SOUTH BOUND BROOK NJ
08880-1480
US

V. Phone/Fax

Practice location:
  • Phone: 732-560-1234
  • Fax: 732-560-1749
Mailing address:
  • Phone: 732-560-1234
  • Fax: 732-560-1749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA 61660
License Number StateNJ

VIII. Authorized Official

Name: DR. JEFFREY J KALADAS
Title or Position: DOCTOR
Credential: M.D.
Phone: 732-560-1234