City of Newark Dept of Child and Family Well Being Mobile Medical Van

NPI #1003181553 in Newark, New Jersey

Provider Information

NPI Number
1003181553
Entity Type
Organization
Organization Name
City of Newark Dept of Child and Family Well Being Mobile Medical Van
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 16, 2012
Last Updated
Mar 16, 2012

Practice Location

Address
110 WILLIAM ST
City
Newark
ZIP Code
07102-1304
Phone
(973) 733-7558

Authorized Official

Name
L'TANYA WILLIAMS
Title
DIRECTOR
Phone
(973) 733-7558

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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