| Cag Memorial Health Center | |
|
75 Harrison Ave Suite #2 Jersey City NJ 07304-2555 | |
| (201) 333-0094 | |
| (201) 333-6538 |
| Full Name | Cag Memorial Health Center |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 75 Harrison Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Jonathan C. Gibbs (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2013330094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cag Memorial Health Center 75 Harrison Ave Suite #2 Jersey City NJ 07304-2555 Ph: (201) 333-0094 | Cag Memorial Health Center 75 Harrison Ave Suite #2 Jersey City NJ 07304-2555 Ph: (201) 333-0094 |
| NPI Number | 1376799932 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376799932 | NPI | - | NPPES |
| 01000097700 | Other | NJ | AMERICHOICE |
| 2684403 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MAO13695 (New Jersey) | Primary |
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