Provider Demographics
NPI:1205002441
Name:PULMONARY INTERNISTS OF CENTRAL JERSEY LLC
Entity Type:Organization
Organization Name:PULMONARY INTERNISTS OF CENTRAL JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AVTAR
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-264-7970
Mailing Address - Street 1:PO BOX 288
Mailing Address - Street 2:
Mailing Address - City:WICKATUNK
Mailing Address - State:NJ
Mailing Address - Zip Code:07765-0288
Mailing Address - Country:US
Mailing Address - Phone:732-264-7970
Mailing Address - Fax:732-264-8858
Practice Address - Street 1:721 N BEERS ST
Practice Address - Street 2:SUITE 2G AND 2H
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1518
Practice Address - Country:US
Practice Address - Phone:732-264-7970
Practice Address - Fax:732-264-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA58321207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty