| City Of Newark Dept Of Child And Family Well Being Mobile Medical Van | |
|
110 William St Newark NJ 07102-1304 | |
| (973) 733-7558 | |
| Not Available |
| Full Name | City Of Newark Dept Of Child And Family Well Being Mobile Medical Van |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 110 William St, Newark, New Jersey |
| Authorized Official Name and Position | L'tanya Williams (DIRECTOR) |
| Authorized Official Contact | 9737337558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Newark Dept Of Child And Family Well Being Mobile Medical Van 110 William St Newark NJ 07102-1304 Ph: (973) 733-7558 | City Of Newark Dept Of Child And Family Well Being Mobile Medical Van 110 William St Newark NJ 07102-1304 Ph: (973) 733-7558 |
| NPI Number | 1003181553 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 03/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003181553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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