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Contact Information

DRC360, LLC
29 SOUTH ST
NEW PROVIDENCE, NJ07974-2934
 Phone: 973-452-9078
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DRC360 LLC · (Female)

NPI Number 1679964795
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2015
Last updated 02/11/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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