Provider Demographics
NPI:1710696661
Name:MAYFAIR MEDICAL SYSTEMS, PC
Entity Type:Organization
Organization Name:MAYFAIR MEDICAL SYSTEMS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPLE
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:TUROVETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-342-8046
Mailing Address - Street 1:650 HOWE AVE STE 730
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-4797
Mailing Address - Country:US
Mailing Address - Phone:916-999-4535
Mailing Address - Fax:916-304-0404
Practice Address - Street 1:650 HOWE AVE STE 730
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-4797
Practice Address - Country:US
Practice Address - Phone:510-295-7864
Practice Address - Fax:916-304-0404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty