Provider Demographics
NPI:1396266615
Name:DOCTORS ON DEMAND LLC
Entity type:Organization
Organization Name:DOCTORS ON DEMAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRILBY
Authorized Official - Middle Name:J
Authorized Official - Last Name:TENER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-413-1111
Mailing Address - Street 1:PO BOX 314
Mailing Address - Street 2:
Mailing Address - City:LEDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07852-0314
Mailing Address - Country:US
Mailing Address - Phone:201-686-7598
Mailing Address - Fax:866-760-4555
Practice Address - Street 1:1 BARI DR
Practice Address - Street 2:
Practice Address - City:LEDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07852-9652
Practice Address - Country:US
Practice Address - Phone:201-686-7598
Practice Address - Fax:866-760-4555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA2527900208600000X
NJ25MA02527900208D00000X
NJ25MA6773500207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty