| Rwjbarnabas | |
|
200 S Orange Ave Suite Number 112 Livingston NJ 07039-5817 | |
| (973) 322-6457 | |
| Not Available |
| Full Name | Rwjbarnabas |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 200 S Orange Ave, Livingston, New Jersey |
| Authorized Official Name and Position | Florence Smith (GERIATRIC) |
| Authorized Official Contact | 9736997963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rwjbarnabas 200 Mount Pleasant Ave Apt K9 West Orange NJ 07052-4049 Ph: (973) 699-7963 | Rwjbarnabas 200 S Orange Ave Suite Number 112 Livingston NJ 07039-5817 Ph: (973) 322-6457 |
| NPI Number | 1629503339 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 05/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629503339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 454832340 (New Jersey) | Primary |
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