Icu Nj, Pc

LBN: Icu Nj, Pc
Icu Nj, Pc is an health care organization with primary practice located at 1825 Nw Corporate Blvd Ste 105 , Boca Raton FL 33431-8554. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Icu Nj, Pc can be contacted via phone (561) 299-3667, or through Ludwig, Philip via phone (561) 299-3667.

Contact Information

Primary practice address
1825 Nw Corporate Blvd Ste 105 Boca Raton FL 33431-8554
Phone: (561) 299-3667
Fax: (561) 299-3670
Website:
Map and Directions
Authorized official contact:
Name: Ludwig, Philip Doctor of Medicine (MD)
Phone: (561) 299-3667

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1093123309
LBN Legal business name Icu Nj, Pc
DBA Doing business as
Authorized official Ludwig, Philip Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2014
Last updated Apr 5th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093123309 NPPES
New Jersey MEDICAID 0450022

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