Provider Demographics
NPI:1689018509
Name:HEALTH MED PHYSICIAN P C
Entity type:Organization
Organization Name:HEALTH MED PHYSICIAN P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AFROZA
Authorized Official - Middle Name:SULTANA
Authorized Official - Last Name:LITON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-739-0826
Mailing Address - Street 1:344 GROVE ST
Mailing Address - Street 2:12
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-5923
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26 DUBLIN CT
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-3708
Practice Address - Country:US
Practice Address - Phone:508-739-0826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty