Nj Medical Practice PC

NPI #1356798490 in Montclair, New Jersey

Provider Information

NPI Number: 1356798490
Entity Type: Organization
Organization Name: Nj Medical Practice PC
Primary Specialty: Emergency Medicine
Enumeration Date: May 18, 2016
Last Updated: May 18, 2016

Practice Location

Address: 1 BAY AVE
City: Montclair
State: New Jersey
ZIP Code: 07042-4837
Phone: (469) 401-2386

Authorized Official

Name: RUSSELL HARRIS, MD
Title: OFFICER
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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