| Montclair Family Practice Llc | |
|
230 Sherman Ave Suite A Glen Ridge NJ 07028-1529 | |
| (973) 743-2321 | |
| (973) 259-0600 |
| Full Name | Montclair Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 230 Sherman Ave, Glen Ridge, New Jersey |
| Authorized Official Name and Position | Jose C. Flores (PHYSICIAN, PARTNER) |
| Authorized Official Contact | 9737432321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montclair Family Practice Llc 230 Sherman Ave Suite A Glen Ridge NJ 07028-1529 Ph: (973) 743-2321 | Montclair Family Practice Llc 230 Sherman Ave Suite A Glen Ridge NJ 07028-1529 Ph: (973) 743-2321 |
| NPI Number | 1598806341 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598806341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB05438000 (New Jersey) | Primary |
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