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Organization
BLUE STAR LOTUS LLC
Active
Organization
BLUE STAR LOTUS LLC
Active
Other names
Blue Star Community Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HR MANAGER (OWNER/CEO)
(973) 777-0000
Entity
Organization
Contact information
Practice address
120 ELMORA AVE, ELIZABETH, NJ 07202-1625
(973) 777-0000
(973) 370-4040
Mailing address
110 SQUIRE HILL RD, MONTCLAIR, NJ 07043-2516
(973) 370-4000
(973) 370-4040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/31/2020
Last updated
07/29/2025
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