| Nova New Jersey Physician Group Llc | |
|
1000 S Elmora Ave Elizabeth NJ 07202-3100 | |
| (908) 737-5703 | |
| (908) 325-0075 |
| Full Name | Nova New Jersey Physician Group Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1000 S Elmora Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Terrence Morton (SR. MEDICAL DIRECTOR) |
| Authorized Official Contact | 3127339730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova New Jersey Physician Group Llc 30 W Monroe St Ste 1200 Chicago IL 60603-2420 Ph: (773) 352-1515 | Nova New Jersey Physician Group Llc 1000 S Elmora Ave Elizabeth NJ 07202-3100 Ph: (908) 737-5703 |
| NPI Number | 1083462303 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083462303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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