| Elm Street Hospital Physicians, P.a. | |
|
155 Jefferson St Newark NJ 07105-1706 | |
| (973) 589-1300 | |
| Not Available |
| Full Name | Elm Street Hospital Physicians, P.a. |
|---|---|
| Speciality | General Practice |
| Location | 155 Jefferson St, Newark, New Jersey |
| Authorized Official Name and Position | Joseph John Calabro (PRESIDENT) |
| Authorized Official Contact | 7322120060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elm Street Hospital Physicians, P.a. 66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4918 Ph: (732) 212-0051 | Elm Street Hospital Physicians, P.a. 155 Jefferson St Newark NJ 07105-1706 Ph: (973) 589-1300 |
| NPI Number | 1548260557 |
|---|---|
| Provider Enumeration Date | 08/01/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548260557 | NPI | - | NPPES |
| 8716404 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (New Jersey) | Primary |
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