Provider Demographics
NPI:1790005312
Name:BATARSEH WALK IN MEDICAL CENTER, LLC.
Entity Type:Organization
Organization Name:BATARSEH WALK IN MEDICAL CENTER, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HANI
Authorized Official - Middle Name:
Authorized Official - Last Name:BATARSEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-721-1500
Mailing Address - Street 1:540 BORDENTOWN AVE
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-1546
Mailing Address - Country:US
Mailing Address - Phone:731-721-1500
Mailing Address - Fax:732-721-1599
Practice Address - Street 1:540 BORDENTOWN AVE
Practice Address - Street 2:SUITE 2100
Practice Address - City:SOUTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08879-1546
Practice Address - Country:US
Practice Address - Phone:731-721-1500
Practice Address - Fax:732-721-1599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-05
Last Update Date:2010-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty