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1548343973
NJ MED, PA
ELIZABETH, NJ
NPI
1548343973
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Entity Type
Organization
Authorized Contact
VIVIAN SHAUGHNESSY
Office Manager
908-355-8877
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2006-10-21
Last Update Date
2014-09-11
Business Address
NJ MED, PA
240 WILLIAMSON ST SUITE 204
ELIZABETH, NJ 07202
Phone number: 908-355-8877
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Mailing Address
NJ MED, PA
240 WILLIAMSON ST SUITE 204
ELIZABETH, NJ 07202
Phone number: 908-355-8877
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