Provider Demographics
NPI:1548604432
Name:HEALTH FIRST IMMEDIATE MEDICAL CARE P.A.
Entity Type:Organization
Organization Name:HEALTH FIRST IMMEDIATE MEDICAL CARE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:MENDOSA
Authorized Official - Last Name:BAQUIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:973-728-5930
Mailing Address - Street 1:1900 UNION VALLEY RD
Mailing Address - Street 2:SUITE 205/ 206
Mailing Address - City:HEWITT
Mailing Address - State:NJ
Mailing Address - Zip Code:07421-3024
Mailing Address - Country:US
Mailing Address - Phone:973-728-5930
Mailing Address - Fax:973-728-0809
Practice Address - Street 1:1900 UNION VALLEY RD
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:NJ
Practice Address - Zip Code:07421-3024
Practice Address - Country:US
Practice Address - Phone:973-728-5930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty