Provider Demographics
NPI:1235394933
Name:INTERNAL MEDICINE ASSOCIATES OF ELIZABETH, LLC
Entity Type:Organization
Organization Name:INTERNAL MEDICINE ASSOCIATES OF ELIZABETH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:B
Authorized Official - Last Name:BAYES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-245-3343
Mailing Address - Street 1:236 E. WESTFIELD AVE.
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-2084
Mailing Address - Country:US
Mailing Address - Phone:908-245-3343
Mailing Address - Fax:908-245-3344
Practice Address - Street 1:236 E. WESTFIELD AVE.
Practice Address - Street 2:SUITE 6
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-2084
Practice Address - Country:US
Practice Address - Phone:908-245-3343
Practice Address - Fax:908-245-3344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty