Provider Demographics
NPI:1043488315
Name:PARLIN MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:PARLIN MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-423-4006
Mailing Address - Street 1:3 PARLIN DR STE F
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-2263
Mailing Address - Country:US
Mailing Address - Phone:732-651-2001
Mailing Address - Fax:732-651-2002
Practice Address - Street 1:3 PARLIN DR STE F
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-2263
Practice Address - Country:US
Practice Address - Phone:732-651-2001
Practice Address - Fax:732-651-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ11755778OtherCAQH