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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

NPI # 1679964795
LBN Legal business name DRC360, LLC
Authorized official ANTHONY CAVAZOS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2015
Last updated 02/11/2015 - About 11 years ago
Identifiers n/a
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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