| Premise Health Of New Jersey Medical, P.c | |
|
3 Penn Plz E Newark NJ 07105-2258 | |
| (973) 466-7962 | |
| (973) 466-7965 |
| Full Name | Premise Health Of New Jersey Medical, P.c |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3 Penn Plz E, Newark, New Jersey |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of New Jersey Medical, P.c 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Premise Health Of New Jersey Medical, P.c 3 Penn Plz E Newark NJ 07105-2258 Ph: (973) 466-7962 |
| NPI Number | 1083336929 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083336929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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