Jean M Augustin MD PA

NPI #1124331814 in Newark, New Jersey

Provider Information

NPI Number: 1124331814
Entity Type: Organization
Organization Name: Jean M Augustin MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Jul 22, 2010
Last Updated: Jul 22, 2010

Practice Location

Address: 850 S 11TH ST
City: Newark
State: New Jersey
ZIP Code: 07108-1304
Phone: (973) 373-6066

Authorized Official

Name: JOHN M AUGUSTIN, MD
Title: PRESIDENT
Phone: (973) 373-6066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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