| NPI | 1356527998 |
|---|---|
| Doing Business As | FAMILY HEALTH CENTER OF MONTCLAIR |
| Entity Type | Organization |
| Authorized Contact | DEBORAH TICKE Office Manager 973-744-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA03933400) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |