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200 S Orange Ave Livingston NJ 07039-5817 | |
| (973) 322-7007 | |
| (973) 322-7528 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 200 S Orange Ave, Livingston, New Jersey |
| Authorized Official Name and Position | Gregory A Alban (AVP OF FINANCE) |
| Authorized Official Contact | 9733227331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1050 Galloping Hill Rd Union NJ 07083-7983 Ph: (908) 206-2230 | 200 S Orange Ave Livingston NJ 07039-5817 Ph: (973) 322-7007 |
| NPI Number | 1225038896 |
|---|---|
| Provider Enumeration Date | 07/26/2005 |
| Last Update Date | 05/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225038896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (New Jersey) | Primary |
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