Provider Demographics
NPI:1407090848
Name:REY MEDICINE PC
Entity Type:Organization
Organization Name:REY MEDICINE PC
Other - Org Name:CLIFTON COMPREHENSIVE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:UGRAS REY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-773-7713
Mailing Address - Street 1:960 PAULISON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-3607
Mailing Address - Country:US
Mailing Address - Phone:973-773-7713
Mailing Address - Fax:973-773-7723
Practice Address - Street 1:960 PAULISON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-3607
Practice Address - Country:US
Practice Address - Phone:973-773-7713
Practice Address - Fax:973-773-7723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08429300261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care