Provider Demographics
NPI:1194766527
Name:MEDICAL WALK IN, P.A.
Entity type:Organization
Organization Name:MEDICAL WALK IN, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABOLGHASSEM
Authorized Official - Middle Name:
Authorized Official - Last Name:GARMKHORANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-683-1975
Mailing Address - Street 1:3333 ROUTE 9
Mailing Address - Street 2:CHADWICK SQUARE
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8503
Mailing Address - Country:US
Mailing Address - Phone:732-683-1975
Mailing Address - Fax:732-683-1978
Practice Address - Street 1:3333 ROUTE 9
Practice Address - Street 2:CHADWICK SQUARE
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8503
Practice Address - Country:US
Practice Address - Phone:732-683-1975
Practice Address - Fax:732-683-1978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty