University Of Medicine & Dentistry Of New Jersey

NPI 1407019185 - Clinic/Center - 261Q00000X

NPI Details
NPI 1407019185
Enumeration Date 07/03/2008
Last Updated 07/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KATHLEEN A KATHLEEN
Position WOMENS HEALTH NURSE PRACTITIONER
Phone (973) 972-9043
Fax
Practice Location
150 BERGEN ST
G102 FXB CLINIC
NEWARK NJ, 07103-2496, US
Phone (973) 972-9043
Fax
Business Location
150 BERGEN ST
G102 FXB CLINIC
NEWARK NJ, 07103-2496, US
Phone (973) 972-9043
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State New Jersey
License Number 26NJ00156800
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According to our database, University Of Medicine & Dentistry Of New Jersey NPI is 1407019185, taxonomy code is 261Q00000X and license number is 26NJ00156800, license state is located at New Jersey. University Of Medicine & Dentistry Of New Jersey physically located at 150 Bergen St, Newark NJ, 07103-2496. NPI Number 1033115704 has the healthcare provider type.

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1407019185 NPI number is provided on an as is basis without warranty of any kind. 1407019185 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Medicine & Dentistry Of New Jersey are for informational purposes only.