Provider Demographics
NPI:1700155314
Name:A2Z MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:A2Z MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHPITALNIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-483-9711
Mailing Address - Street 1:15 N 5TH ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-6100
Mailing Address - Country:US
Mailing Address - Phone:201-483-9711
Mailing Address - Fax:201-483-9712
Practice Address - Street 1:15 N 5TH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-6100
Practice Address - Country:US
Practice Address - Phone:201-483-9711
Practice Address - Fax:201-483-9712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care