Provider Demographics
NPI:1194832840
Name:AFFILIATED MEDICAL ASSOCIATES OF MORRISTOWN, PA
Entity Type:Organization
Organization Name:AFFILIATED MEDICAL ASSOCIATES OF MORRISTOWN, PA
Other - Org Name:INFECTIOUS DISEASES CONSULANTS OF MORRISTOWN
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-538-8837
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-0300
Mailing Address - Country:US
Mailing Address - Phone:973-538-8837
Mailing Address - Fax:973-538-3650
Practice Address - Street 1:220 RIDGEDALE AVE
Practice Address - Street 2:SUITE C2
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1361
Practice Address - Country:US
Practice Address - Phone:973-538-5844
Practice Address - Fax:973-267-0181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherTIN