Montclair Medical Associates Llc | |
290 S Livingston Ave Livingston NJ 07039-3931 | |
(972) 592-2733 | |
Not Available |
Full Name | Montclair Medical Associates Llc |
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Speciality | Family Medicine |
Location | 290 S Livingston Ave, Livingston, New Jersey |
Authorized Official Name and Position | Renita Oglesby (OWNER) |
Authorized Official Contact | 9735922733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Montclair Medical Associates Llc 290 S Livingston Ave Livingston NJ 07039-3931 Ph: (972) 592-2733 | Montclair Medical Associates Llc 290 S Livingston Ave Livingston NJ 07039-3931 Ph: (972) 592-2733 |
NPI Number | 1588176929 |
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Provider Enumeration Date | 10/25/2017 |
Last Update Date | 10/25/2017 |
Identifier | Type | State | Issuer |
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1588176929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MB08472400 (New Jersey) | Primary |
261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
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