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Contact Information

INTERNET MEDICAL GROUP PC
181 FRANKLIN AVENUE
SUITE 204
NUTLEY, NJ07110
 Phone: 973-667-8117
 Fax: 973-667-6642
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for INTERNET MEDICAL GROUP PC · (Female)

NPI Number 1720044555
Status Active
Credentials
Entity Individual
Enumeration date 04/21/2006
Last updated 05/14/2026 - About 3 weeks ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA07282700
  • NJ Medicaid 6342205
  • NJ Other 31D0108495 CLIA
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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