Provider Demographics
NPI:1235252834
Name:P. F. IOFFREDA, MD, PA
Entity Type:Organization
Organization Name:P. F. IOFFREDA, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN-PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-545-8259
Mailing Address - Street 1:1250 MARIGOLD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1722
Mailing Address - Country:US
Mailing Address - Phone:732-545-8259
Mailing Address - Fax:732-247-5574
Practice Address - Street 1:1250 MARIGOLD ST
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1722
Practice Address - Country:US
Practice Address - Phone:732-545-8259
Practice Address - Fax:732-247-5574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ627610Medicare ID - Type UnspecifiedGROUP NUMBER