Optum Medical Care of New Jersey PC
NPI #1487193454 in Passaic, New Jersey
Provider Information
- NPI Number
- 1487193454
- Entity Type
- Organization
- Organization Name
- Optum Medical Care of New Jersey PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 23, 2017
- Last Updated
- Jun 2, 2023
Practice Location
- Address
- 625 MAIN AVE
- Address 2
- SECOND FL
- City
- Passaic
- State
- New Jersey
- ZIP Code
- 07055-4952
- Phone
- (973) 614-9800
Authorized Official
- Name
- GAURANG RAVAJI BRAHMBHATT, MD
- Title
- CMO
- Phone
- (201) 636-7233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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