Provider Demographics
NPI:1255432779
Name:ALTERNATIVE INTEGRATED MEDICAL SERVICES L.L.C.
Entity type:Organization
Organization Name:ALTERNATIVE INTEGRATED MEDICAL SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEESLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-254-5553
Mailing Address - Street 1:150 TICES LN # A
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2015
Mailing Address - Country:US
Mailing Address - Phone:732-254-5553
Mailing Address - Fax:
Practice Address - Street 1:150 TICES LN # A
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2015
Practice Address - Country:US
Practice Address - Phone:732-254-5553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
DB0449OtherRAILROAD MEDICARE
044666Medicare ID - Type Unspecified