Provider Demographics
NPI:1720633969
Name:VISITING DOCTORS ASSOCIATES
Entity type:Organization
Organization Name:VISITING DOCTORS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IDIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SARADOUNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-691-4828
Mailing Address - Street 1:3807 BERGENLINE AVE
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4860
Mailing Address - Country:US
Mailing Address - Phone:201-582-3000
Mailing Address - Fax:201-489-7800
Practice Address - Street 1:3807 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4860
Practice Address - Country:US
Practice Address - Phone:201-582-3000
Practice Address - Fax:201-489-7800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty