Provider Demographics
NPI:1508627860
Name:INTELLIGENT HEALTH LLC
Entity Type:Organization
Organization Name:INTELLIGENT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIWEK
Authorized Official - Middle Name:
Authorized Official - Last Name:BISEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-596-4976
Mailing Address - Street 1:221 RIVER ST STE 900
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5990
Mailing Address - Country:US
Mailing Address - Phone:201-596-4976
Mailing Address - Fax:877-837-0412
Practice Address - Street 1:221 RIVER ST STE 900
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5990
Practice Address - Country:US
Practice Address - Phone:201-596-4976
Practice Address - Fax:877-837-0412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty