| Umdnj - School Of Health Related Professions | |
|
65 Bergen St Ste 120 Newark NJ 07107-3001 | |
| (973) 972-4496 | |
| Not Available |
| Full Name | Umdnj - School Of Health Related Professions |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 65 Bergen St Ste 120, Newark, New Jersey |
| Authorized Official Name and Position | Avril Lecky (COORDINATOR FACULTY PERSONNEL ADMIN) |
| Authorized Official Contact | 9739724496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umdnj - School Of Health Related Professions 65 Bergen St Ste 120 Newark NJ 07107-3001 Ph: (973) 972-4496 | Umdnj - School Of Health Related Professions 65 Bergen St Ste 120 Newark NJ 07107-3001 Ph: (973) 972-4496 |
| NPI Number | 1942452602 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 10/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942452602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22HI00436800 (New Jersey) | Primary |
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