EWR MEDPORT

NEWARK, NJ
NPI1871890079
Entity TypeOrganization
Authorized ContactJEFFREY WITZ
Director
973-877-0991
Organization Subpart ?No
Primary Taxonomy261QX0100X Clinic/Center, Occupational Medicine
(Licence: NJ  38mc00672500)
Additional Taxonomies261QM1300X Clinic/Center, Multi-Specialty
(Licence: NJ  25ma08091000)
Enumeration Date2011-02-24
Last Update Date2011-02-24
Business Address
EWR MEDPORT
339 BREWSTER RD STE 201
NEWARK, NJ 07114
Phone number: 973-877-0991
Mailing Address
EWR MEDPORT
339 BREWSTER RD STE 201
NEWARK, NJ 07114
Phone number: 973-877-0991