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600 Harborside Financial Center Plaza 2 Floor 2 Jersey City NJ 07311 | |
| (201) 830-6168 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 600 Harborside Financial Center Plaza 2, Jersey City, New Jersey |
| Authorized Official Name and Position | Stuart Clark (EXECUTIVE VP) |
| Authorized Official Contact | 7037600700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8229 Boone Blvd Vienna VA 22182-2623 Ph: () - | 600 Harborside Financial Center Plaza 2 Floor 2 Jersey City NJ 07311 Ph: (201) 830-6168 |
| NPI Number | 1346533890 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 05/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346533890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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