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1235731977 NPI number — JEFFREY L. GALITZ MD LLC DBA WOUNDTECH MD OF NEW JERSEY

NPI Number: 1235731977
Health Care Provider/Practitioner: JEFFREY L. GALITZ MD LLC DBA WOUNDTECH MD OF NEW JERSEY

Information about “1235731977” NPI (JEFFREY L. GALITZ MD LLC DBA WOUNDTECH MD OF NEW JERSEY) exists in 1235731977 in HTML format HTML  |  1235731977 in plain Text format TXT  |  1235731977 in PDF (Portable Document Format) PDF  |  1235731977 in an XML format XML  formats.

NPI Number : 1235731977 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235731977",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JEFFREY L. GALITZ MD LLC DBA WOUNDTECH MD OF NEW JERSEY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "200 S PARK RD STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLLYWOOD",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33021-8541",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-923-7440",
    "MailingAddressFaxNumber": "954-923-1299",
    "FirstLinePracticeLocationAddress": "200 S PARK RD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOLLYWOOD",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33021-8541",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-923-7440",
    "PracticeLocationAddressFaxNumber": "954-923-1299",
    "EnumerationDate": "11/09/2020",
    "LastUpdateDate": "11/09/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GALITZ",
    "AuthorizedOfficialFirstName": "JEFFREY",
    "AuthorizedOfficialMiddleName": "LEE",
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "954-923-7440",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208D00000X",
        "TaxonomyName": "General Practice Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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