Montclair Urological Group

NPI #1104955798 in Glen Ridge, New Jersey

Provider Information

NPI Number: 1104955798
Entity Type: Organization
Organization Name: Montclair Urological Group
Primary Specialty: Specialist
Enumeration Date: Mar 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 777 BLOOMFIELD AVE
City: Glen Ridge
State: New Jersey
ZIP Code: 07028-2325
Phone: (973) 746-3322

Authorized Official

Name: DR. PETER C BOORJIAN, MD
Title: PRESIDENT
Phone: (973) 746-3322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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