Provider Demographics
NPI:1568026946
Name:BIOLOGICAL CONCEPTS MD, PC
Entity Type:Organization
Organization Name:BIOLOGICAL CONCEPTS MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYBALOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-693-3914
Mailing Address - Street 1:1261 ABBOTT BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4358
Mailing Address - Country:US
Mailing Address - Phone:201-693-3914
Mailing Address - Fax:
Practice Address - Street 1:1261 ABBOTT BLVD
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-4358
Practice Address - Country:US
Practice Address - Phone:201-693-3914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center