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NPI Code Detail

MEDICARE: SOLACE HEALTH MEDICAL GROUP, INC.

MEDICARE: SOLACE HEALTH MEDICAL GROUP, INC.
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
1103T00000XPsychologist
2207Q00000XFamily Medicine Physician
3207R00000XInternal Medicine Physician
4207RG0300XGeriatric Medicine (Internal Medicine) Physician
5207QG0300XGeriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1528900891
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLACE HEALTH MEDICAL GROUP, INC.
Provider Business Mailing Address
First Line : 401 WARREN ST STE 300
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-1536
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 221 RIVER ST STE 9
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5990
Country : US
Telephone Number : 240-693-3281
Fax Number :
Authorized Official
Title or Position : MANAGING EMPLOYEE
Name : JEREMY GUREWITZ
Credential :
Telephone Number : 240-693-3281
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “SOLACE HEALTH MEDICAL GROUP, INC. ” Practice Location

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