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NPI Code Detail

MEDICARE: ALTERNATIVE INTEGRATED MEDICAL SERVICES L.L.C.

MEDICARE: ALTERNATIVE INTEGRATED MEDICAL SERVICES L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DB0449OTHERRAILROAD MEDICARE

General Provider Information

NPI Number : 1255432779
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTERNATIVE INTEGRATED MEDICAL SERVICES L.L.C.
Provider Business Mailing Address
First Line : 150 TICES LN # A
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-2015
Country : US
Telephone Number : 732-254-5553
Fax Number :
Provider Business Practice Location Address
First Line : 150 TICES LN # A
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-2015
Country : US
Telephone Number : 732-254-5553
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. MATTHEW SPEESLER
Credential : M.D.
Telephone Number : 732-254-5553
Provider Enumeration Date : 09/26/2006
Last Update Date : 04/20/2010

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Directions to “ALTERNATIVE INTEGRATED MEDICAL SERVICES L.L.C. ” Practice Location

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