Nova Medical Enterprises Limited Liability Company
NPI #1659492692 in Passaic, New Jersey
Provider Information
- NPI Number
- 1659492692
- Entity Type
- Organization
- Organization Name
- Nova Medical Enterprises Limited Liability Company
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 158 HAMILTON AVE
- City
- Passaic
- State
- New Jersey
- ZIP Code
- 07055-5241
- Phone
- (973) 473-1800
Authorized Official
- Name
- ANNAMARIA CONKLIN
- Title
- CREDENTIALING COORDINATOR
- Phone
- (973) 458-0422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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