Provider Demographics
NPI:1073056321
Name:MEDAREX INC.
Entity Type:Organization
Organization Name:MEDAREX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-915-3494
Mailing Address - Street 1:58 W 58TH ST
Mailing Address - Street 2:AP. 20C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2502
Mailing Address - Country:US
Mailing Address - Phone:917-915-3494
Mailing Address - Fax:
Practice Address - Street 1:145 HIGHLAWN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2635
Practice Address - Country:US
Practice Address - Phone:718-266-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care