| Njcri Physicians Group Pc | |
|
393 Central Ave Newark NJ 07103-2842 | |
| (973) 483-3444 | |
| (347) 342-0769 |
| Full Name | Njcri Physicians Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 393 Central Ave, Newark, New Jersey |
| Authorized Official Name and Position | Shawn Ekwall (ADMINISTRATOR) |
| Authorized Official Contact | 9734833444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Njcri Physicians Group Pc 393 Central Ave Newark NJ 07103-2842 Ph: (973) 483-3444 | Njcri Physicians Group Pc 393 Central Ave Newark NJ 07103-2842 Ph: (973) 483-3444 |
| NPI Number | 1487100657 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487100657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 25MA05479500 (New Jersey) | Primary |
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