Provider Demographics
NPI:1285234609
Name:UNIVERSAL MANAGEMENT GROUP INC.
Entity type:Organization
Organization Name:UNIVERSAL MANAGEMENT GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOLTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CANGOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-590-7819
Mailing Address - Street 1:611 ALBERT PL
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-5308
Mailing Address - Country:US
Mailing Address - Phone:570-590-7819
Mailing Address - Fax:
Practice Address - Street 1:611 ALBERT PL
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-5308
Practice Address - Country:US
Practice Address - Phone:570-590-7819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty