Boys & Girls Club Of Newark | |
1 Avon Ave Newark NJ 07108-2801 | |
(973) 242-1200 | |
Not Available |
Full Name | Boys & Girls Club Of Newark |
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Speciality | Clinic/center |
Location | 1 Avon Ave, Newark, New Jersey |
Authorized Official Name and Position | Gardan Speights (DIRECTOR OF COMMUNITY WELLNESS) |
Authorized Official Contact | 9732421200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boys & Girls Club Of Newark 1 Avon Ave Newark NJ 07108-2801 Ph: (973) 242-1200 | Boys & Girls Club Of Newark 1 Avon Ave Newark NJ 07108-2801 Ph: (973) 242-1200 |
NPI Number | 1659024149 |
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Provider Enumeration Date | 02/03/2022 |
Last Update Date | 02/03/2022 |
Certification Date | 02/03/2022 |
Identifier | Type | State | Issuer |
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1659024149 | NPI | - | NPPES |
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