Premise Health of New Jersey Medical, P.c.
NPI #1396454765 in Newark, New Jersey
Provider Information
- NPI Number
- 1396454765
- Entity Type
- Organization
- Organization Name
- Premise Health of New Jersey Medical, P.c.
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Nov 15, 2022
- Last Updated
- Nov 15, 2022
Practice Location
- Address
- 390 E PORT ST
- City
- Newark
- State
- New Jersey
- ZIP Code
- 07114-3115
- Phone
- (615) 468-3188
Authorized Official
- Name
- WILLIAM WRIGHT
- Title
- LEGAL COUNSEL
- Phone
- (615) 577-5893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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