| Derrick Alloway Medical Arts, Llc | |
|
305 Park Ave Rutherford NJ 07070-2748 | |
| (201) 207-9243 | |
| (888) 627-5578 |
| Full Name | Derrick Alloway Medical Arts, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 305 Park Ave, Rutherford, New Jersey |
| Authorized Official Name and Position | Derrick Jason Alloway (CEO) |
| Authorized Official Contact | 2012079243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick Alloway Medical Arts, Llc 261b Elmwood Ave Maplewood NJ 07040-1942 Ph: (201) 207-9243 | Derrick Alloway Medical Arts, Llc 305 Park Ave Rutherford NJ 07070-2748 Ph: (201) 207-9243 |
| NPI Number | 1730327859 |
|---|---|
| Provider Enumeration Date | 01/27/2009 |
| Last Update Date | 10/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730327859 | NPI | - | NPPES |
| 0161772 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
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