| Ewr Medport | |
|
339 Brewster Rd Ste 201 Newark NJ 07114 | |
| (973) 877-0991 | |
| Not Available |
| Full Name | Ewr Medport |
|---|---|
| Speciality | Clinic/center - Occupational Medicine |
| Location | 339 Brewster Rd, Newark, New Jersey |
| Authorized Official Name and Position | Jeffrey Witz (DIRECTOR) |
| Authorized Official Contact | 9738770991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ewr Medport 339 Brewster Rd Ste 201 Newark NJ 07114 Ph: (973) 877-0991 | Ewr Medport 339 Brewster Rd Ste 201 Newark NJ 07114 Ph: (973) 877-0991 |
| NPI Number | 1871890079 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 02/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871890079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 25MA08091000 (New Jersey) | Secondary |
| 261QX0100X | Clinic/center - Occupational Medicine | 38MC00672500 (New Jersey) | Primary |
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