Healthcare Provider Details

I. General information

NPI: 1265059224
Provider Name (Legal Business Name): RHEMACARE MEDICALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1992 MORRIS AVE # 215
UNION NJ
07083-3507
US

IV. Provider business mailing address

1992 MORRIS AVE # 215
UNION NJ
07083-3507
US

V. Phone/Fax

Practice location:
  • Phone: 862-235-8996
  • Fax:
Mailing address:
  • Phone: 862-235-8996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VALENTINE O OBI
Title or Position: DIRECTOR
Credential: MD
Phone: 862-235-8996