Optum Medical Care of New Jersey PC
NPI #1508606237 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1508606237
- Entity Type
- Organization
- Organization Name
- Optum Medical Care of New Jersey PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OPTUM MEDICAL CARE OF NEW JERSEY PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 30, 2024
- Last Updated
- May 30, 2024
Practice Location
- Address
- 264 BOYDEN AVE
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-3070
- Phone
- (973) 761-5200
Authorized Official
- Name
- GAURANG RAVAJI BRAHMBHATT, MD
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (201) 706-8490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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