Provider Demographics
NPI:1326407727
Name:VALURX
Entity Type:Organization
Organization Name:VALURX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:FARHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:DARUWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-513-9940
Mailing Address - Street 1:22 KITCHELL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-4402
Mailing Address - Country:US
Mailing Address - Phone:973-728-6257
Mailing Address - Fax:
Practice Address - Street 1:2075 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6293
Practice Address - Country:US
Practice Address - Phone:973-513-9940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ24085261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health