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Contact Information

HIGH CREST MEDICAL, LLC
50 FAIRFIELD RD
FAIRFIELD, NJ07004-2414
 Phone: 973-808-5550
 Fax: 973-808-5999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HIGH CREST MEDICAL, LLC

NPI # 1033444021
LBN Legal business name HIGH CREST MEDICAL, LLC
Authorized official EUGENE EVANS - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2009
Last updated 10/08/2009 - About 17 years ago
Identifiers
NJ Other 044862WGE MEDICARE RENDERING PROVIDER NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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