Provider Demographics
NPI:1528209087
Name:ENDOCRINOLOGY AND DIABETES ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ENDOCRINOLOGY AND DIABETES ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:G
Authorized Official - Last Name:BREIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-245-2415
Mailing Address - Street 1:1590 ANDERSON AVE
Mailing Address - Street 2:10 H
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-2702
Mailing Address - Country:US
Mailing Address - Phone:646-245-2415
Mailing Address - Fax:201-482-8212
Practice Address - Street 1:1590 ANDERSON AVE
Practice Address - Street 2:10 H
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-2702
Practice Address - Country:US
Practice Address - Phone:646-245-2415
Practice Address - Fax:201-482-8212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty