Provider Demographics
NPI:1851487284
Name:ADULT MEDICINE SPECIALISTS, LLC
Entity Type:Organization
Organization Name:ADULT MEDICINE SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CASSIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-767-3130
Mailing Address - Street 1:3910 PARK AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3062
Mailing Address - Country:US
Mailing Address - Phone:732-767-3130
Mailing Address - Fax:732-767-3134
Practice Address - Street 1:3910 PARK AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3062
Practice Address - Country:US
Practice Address - Phone:732-767-3130
Practice Address - Fax:732-767-3134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07090900261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care