Provider Demographics
NPI:1649442039
Name:SPECIALTY MEDICAL SERVICES
Entity type:Organization
Organization Name:SPECIALTY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MGR.
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAN MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-843-1237
Mailing Address - Street 1:PO BOX 8209
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-8209
Mailing Address - Country:US
Mailing Address - Phone:201-843-1237
Mailing Address - Fax:201-843-1239
Practice Address - Street 1:444 MARKET ST
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5996
Practice Address - Country:US
Practice Address - Phone:201-843-1237
Practice Address - Fax:201-843-1239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty