Classic Medical Practice
NPI #1255165072 in Union, New Jersey
Provider Information
- NPI Number
- 1255165072
- Entity Type
- Organization
- Organization Name
- Classic Medical Practice
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Aug 26, 2024
- Last Updated
- Aug 26, 2024
Practice Location
- Address
- 540 NORTH AVE STE 3
- City
- Union
- State
- New Jersey
- ZIP Code
- 07083-7149
- Phone
- (718) 753-1721
Authorized Official
- Name
- DANIEL OKORO, DNP, APN
- Title
- CHIEF EXECUTIVE OFFICE
- Phone
- (908) 230-2750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner - Primary Care — Primary Care |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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