MEDICARE: VALURX

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
1	261QC1500X	Community Health Clinic/Center	24085	NJ

General Provider Information

NPI Number	:	1326407727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALURX

Provider Business Mailing Address
First Line	:	22 KITCHELL LAKE DR
Second Line	:
City	:	WEST MILFORD
State	:	NJ
Zip	:	07480-4402
Country	:	US
Telephone Number	:	973-728-6257
Fax Number	:

Provider Business Practice Location Address
First Line	:	2075 HAMBURG TPKE
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-6293
Country	:	US
Telephone Number	:	973-513-9940
Fax Number	:

Authorized Official
Title or Position	:	PIC
Name	:	FARHAD DARUWALA
Credential	:
Telephone Number	:	973-513-9940

Provider Enumeration Date	:	02/15/2016
Last Update Date	:	02/15/2016

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Directions to “VALURX ” Practice Location

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