Provider Demographics
NPI:1891563052
Name:JUST HEALTH PHYSICIANS LLC
Entity Type:Organization
Organization Name:JUST HEALTH PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ACHINTYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOULICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-821-8767
Mailing Address - Street 1:308 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3808
Mailing Address - Country:US
Mailing Address - Phone:201-821-8717
Mailing Address - Fax:201-603-6688
Practice Address - Street 1:3196 JOHN F KENNEDY BLVD, 2ND FL
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087
Practice Address - Country:US
Practice Address - Phone:201-325-0696
Practice Address - Fax:201-325-9393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty