Tidal Emergency Physicians Llc

LBN: Tidal Emergency Physicians Llc
Tidal Emergency Physicians Llc is an health care organization with primary practice located at 1945 Corlies Ave , Neptune NJ 07753-4859. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Tidal Emergency Physicians Llc can be contacted via phone (732) 776-4203, or through Harris,, Russell H. via phone (469) 401-2386.

Contact Information

Primary practice address
1945 Corlies Ave Neptune NJ 07753-4859
Phone: (732) 776-4203
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris,, Russell H. Doctor of Medicine (MD)
Phone: (469) 401-2386

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1649222407
LBN Legal business name Tidal Emergency Physicians Llc
DBA Doing business as
Authorized official Harris,, Russell H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Dec 24th, 2013 - about 13 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 1649222407 NPPES
New Jersey MEDICAID 7660103

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