| New Jersey Family Practice Center Np | |
|
30 Bergen Street Admc 121205 Newark NJ 07107-3000 | |
| (973) 972-0037 | |
| (973) 972-9355 |
| Full Name | New Jersey Family Practice Center Np |
|---|---|
| Speciality | Family Medicine |
| Location | 30 Bergen Street, Newark, New Jersey |
| Authorized Official Name and Position | Simi Bakshi (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9739726713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Family Practice Center Np 30 Bergen Street Admc 121205 Newark NJ 07107-3000 Ph: (973) 972-0037 | New Jersey Family Practice Center Np 30 Bergen Street Admc 121205 Newark NJ 07107-3000 Ph: (973) 972-0037 |
| NPI Number | 1154522183 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154522183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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