Montclair Family Practice LLC
NPI #1598806341 in Glen Ridge, New Jersey
Provider Information
- NPI Number
- 1598806341
- Entity Type
- Organization
- Organization Name
- Montclair Family Practice LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Jun 28, 2012
Practice Location
- Address
- 230 SHERMAN AVE
- Address 2
- SUITE A
- City
- Glen Ridge
- State
- New Jersey
- ZIP Code
- 07028-1529
- Phone
- (973) 743-2321
Authorized Official
- Name
- DR. JOSE C. FLORES, D.O.
- Title
- PHYSICIAN, PARTNER
- Phone
- (973) 743-2321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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