Provider Demographics
NPI:1710757380
Name:PREFERRED THERAPEUTICS, LLC
Entity Type:Organization
Organization Name:PREFERRED THERAPEUTICS, LLC
Other - Org Name:PREFERRED THERAPEUTICS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:B
Authorized Official - Last Name:VIRADIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-240-2483
Mailing Address - Street 1:1322 ROUTE 31 N STE 2
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3127
Mailing Address - Country:US
Mailing Address - Phone:908-894-7222
Mailing Address - Fax:908-894-7128
Practice Address - Street 1:1322 ROUTE 31 N STE 2
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:NJ
Practice Address - Zip Code:08801-3127
Practice Address - Country:US
Practice Address - Phone:908-894-7222
Practice Address - Fax:908-894-7128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty