Provider Demographics
NPI:1063205987
Name:EZ HEALTH MEDICAL GROUP EAST PC
Entity type:Organization
Organization Name:EZ HEALTH MEDICAL GROUP EAST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NIKHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JHUNJHNUWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-698-1652
Mailing Address - Street 1:525 ROUTE 73 N STE 117
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3422
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:525 ROUTE 73 N STE 117
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3422
Practice Address - Country:US
Practice Address - Phone:385-327-2541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty