Provider Demographics
NPI:1609042233
Name:PROMED SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PROMED SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:RUTHERFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-337-3500
Mailing Address - Street 1:6 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-3420
Mailing Address - Country:US
Mailing Address - Phone:201-337-3500
Mailing Address - Fax:201-337-3527
Practice Address - Street 1:6 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-3420
Practice Address - Country:US
Practice Address - Phone:201-337-3500
Practice Address - Fax:201-337-3527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-04
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center