Provider Demographics
NPI:1497988950
Name:INTEGRAL MEDICAL CARE PC
Entity Type:Organization
Organization Name:INTEGRAL MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-758-1101
Mailing Address - Street 1:80 PASSAIC AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4860
Mailing Address - Country:US
Mailing Address - Phone:201-758-1101
Mailing Address - Fax:201-758-1118
Practice Address - Street 1:80 PASSAIC AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4860
Practice Address - Country:US
Practice Address - Phone:201-758-1101
Practice Address - Fax:201-758-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03887500207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty