Provider Demographics
NPI:1982855128
Name:RAMTOWN MEDICAL CENTER, LLC
Entity Type:Organization
Organization Name:RAMTOWN MEDICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIEGO
Authorized Official - Middle Name:
Authorized Official - Last Name:MORREALLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-458-6400
Mailing Address - Street 1:225 NEWTONS CORNER ROAD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731
Mailing Address - Country:US
Mailing Address - Phone:732-458-6400
Mailing Address - Fax:
Practice Address - Street 1:225 NEWTONS CORNER RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-8818
Practice Address - Country:US
Practice Address - Phone:732-458-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty