Provider Demographics
NPI:1548647878
Name:DIABETES & THYROID ENDOCRINOLOGY CENTER PC
Entity type:Organization
Organization Name:DIABETES & THYROID ENDOCRINOLOGY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RITU
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-531-3048
Mailing Address - Street 1:181 WOODCLIFF BLVD
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-4226
Mailing Address - Country:US
Mailing Address - Phone:732-939-1485
Mailing Address - Fax:732-939-1485
Practice Address - Street 1:180 WHITE RD
Practice Address - Street 2:STE 205
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1166
Practice Address - Country:US
Practice Address - Phone:732-939-1485
Practice Address - Fax:732-939-1485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty