Provider Demographics
NPI:1609692268
Name:INOPS MEDICAL GROUP L.L.C.
Entity type:Organization
Organization Name:INOPS MEDICAL GROUP L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DURKHEIM
Authorized Official - Last Name:MOISE
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:908-986-6071
Mailing Address - Street 1:2500 BRUNSWICK AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-4134
Mailing Address - Country:US
Mailing Address - Phone:609-728-9600
Mailing Address - Fax:609-728-9600
Practice Address - Street 1:2500 BRUNSWICK AVE STE 102
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-4134
Practice Address - Country:US
Practice Address - Phone:609-728-9600
Practice Address - Fax:609-728-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-28
Last Update Date:2024-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty