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400 W Front St Ofc 2 Plainfield NJ 07060-1120 | |
| (908) 432-7864 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 400 W Front St Ofc 2, Plainfield, New Jersey |
| Authorized Official Name and Position | Eva Veronica Henry (FNP-BC) |
| Authorized Official Contact | 9084327864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1 Runyon Ave Piscataway NJ 08854-4612 Ph: (908) 432-7864 | 400 W Front St Ofc 2 Plainfield NJ 07060-1120 Ph: (908) 432-7864 |
| NPI Number | 1275063679 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275063679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 26NJ00702000 (New Jersey) | Primary |
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