Provider Demographics
NPI:1497182224
Name:PREMIER INFECTIOUS DISEASE CARE, INC
Entity Type:Organization
Organization Name:PREMIER INFECTIOUS DISEASE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMRITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-568-0599
Mailing Address - Street 1:4 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3701
Mailing Address - Country:US
Mailing Address - Phone:609-568-0599
Mailing Address - Fax:
Practice Address - Street 1:415 CHRIS GAUPP DR
Practice Address - Street 2:SUITE C
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4440
Practice Address - Country:US
Practice Address - Phone:609-568-0599
Practice Address - Fax:609-748-7574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-13
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty