Provider Demographics
NPI:1629553946
Name:INFOCUS MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:INFOCUS MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CORPORATE DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-994-7090
Mailing Address - Street 1:100 CAMPUS TOWN CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-1962
Mailing Address - Country:US
Mailing Address - Phone:856-625-6343
Mailing Address - Fax:
Practice Address - Street 1:100 CAMPUS TOWN CIR STE 100
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-1962
Practice Address - Country:US
Practice Address - Phone:609-799-7009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care