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600 Pavonia Ave 7th Floor Jersey City NJ 07306-2929 | |
| (201) 418-0088 | |
| (201) 418-9420 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 600 Pavonia Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Spencer Jason Malkin (CEO) |
| Authorized Official Contact | 9178152299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
600 Pavonia Ave 7th Floor Jersey City NJ 07306-2929 Ph: (201) 418-0088 | 600 Pavonia Ave 7th Floor Jersey City NJ 07306-2929 Ph: (201) 418-0088 |
| NPI Number | 1679658462 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679658462 | NPI | - | NPPES |
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