| New Street | |
|
57 New St Irvington NJ 07111-2444 | |
| (973) 373-2010 | |
| Not Available |
| Full Name | New Street |
|---|---|
| Speciality | Clinic/center |
| Location | 57 New St, Irvington, New Jersey |
| Authorized Official Name and Position | Vincent Apruzzese (VICE PRESIDENT) |
| Authorized Official Contact | 7813568017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Street 639 Granite St Braintree MA 02184-5366 Ph: (781) 356-8017 | New Street 57 New St Irvington NJ 07111-2444 Ph: (973) 373-2010 |
| NPI Number | 1477797595 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 04/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477797595 | NPI | - | NPPES |
| 0191272 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2000004 (New Jersey) | Primary |
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