Clinical Consulting Group Inc | |
405 Central Ave East Orange NJ 07018-2553 | |
(973) 417-6871 | |
Not Available |
Full Name | Clinical Consulting Group Inc |
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Speciality | Family Medicine |
Location | 405 Central Ave, East Orange, New Jersey |
Authorized Official Name and Position | Ashraf Latif (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 9734176871 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clinical Consulting Group Inc 529-531 Clifton Ave Newark NJ 07104 Ph: (973) 417-6871 | Clinical Consulting Group Inc 405 Central Ave East Orange NJ 07018-2553 Ph: (973) 417-6871 |
NPI Number | 1063160018 |
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Provider Enumeration Date | 03/17/2022 |
Last Update Date | 03/17/2022 |
Identifier | Type | State | Issuer |
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1063160018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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