| My Nj Medicine Corp | |
|
76 Prospect St Newark NJ 07105-1881 | |
| (973) 344-1313 | |
| (973) 900-8809 |
| Full Name | My Nj Medicine Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 76 Prospect St, Newark, New Jersey |
| Authorized Official Name and Position | Eduardo Samaniego (OWNER) |
| Authorized Official Contact | 9733441313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Nj Medicine Corp 76 Prospect St Newark NJ 07105-1881 Ph: (973) 344-1313 | My Nj Medicine Corp 76 Prospect St Newark NJ 07105-1881 Ph: (973) 344-1313 |
| NPI Number | 1306318241 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306318241 | NPI | - | NPPES |
| P5595606 | Other | NJ | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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