| Humc Opco Llc | |
|
122-132 Clinton St Hoboken NJ 07030-8519 | |
| (201) 418-3109 | |
| (201) 418-3147 |
| Full Name | Humc Opco Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 122-132 Clinton St, Hoboken, New Jersey |
| Authorized Official Name and Position | Vincent Ricciteli (VP FINANCE) |
| Authorized Official Contact | 2014182184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humc Opco Llc Po Box 48309 Newark NJ 07101-4800 Ph: (201) 418-3109 | Humc Opco Llc 122-132 Clinton St Hoboken NJ 07030-8519 Ph: (201) 418-3109 |
| NPI Number | 1467645952 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 09/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467645952 | NPI | - | NPPES |
| 4137906 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10908 (New Jersey) | Primary |
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