| NPI | 1982087607 |
|---|---|
| Other Name | JEWISH RENAISSANCE MEDICAL CENTER AT 13TH AVE SCHOOL |
| Entity Type | Organization |
| Authorized Contact | JACK O'LEARY CEO 732-376-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NJ 22864) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2023-01-27 |