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844 Newark Ave 2 Jersey City NJ 07306-5175 | |
| (312) 343-2444 | |
| (201) 603-1116 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 844 Newark Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Amy Patel (MD) |
| Authorized Official Contact | 3123432444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
844 Newark Ave 2 Jersey City NJ 07306-5175 Ph: () - | 844 Newark Ave 2 Jersey City NJ 07306-5175 Ph: (312) 343-2444 |
| NPI Number | 1770927311 |
|---|---|
| Provider Enumeration Date | 04/25/2013 |
| Last Update Date | 04/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770927311 | NPI | - | NPPES |
| 0079685 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 25MA07628900 (New Jersey) | Primary |
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