# NEW JERSEY MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033268370
- **Authorized official:** ANNIE LEE (OFFICE MANAGER)
- **Authorized official phone:** (201) 503-0828

## Contact information

- **Practice address:** 464 HUDSON TER, SUITE 201, ENGLEWOOD CLIFFS, NJ 07632-2902
- **Practice address phone:** (201) 503-0828
- **Practice address fax:** (201) 503-0848
- **Mailing address:** 464 HUDSON TER, SUITE 201, ENGLEWOOD CLIFFS, NJ 07632-2902
- **Mailing address phone:** (201) 503-0828
- **Mailing address fax:** (201) 503-0848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA53599 | NJ | Yes |
| 207RC0000X | Cardiovascular Disease Physician | MA45119 | NJ | — |
| 207RG0100X | Gastroenterology Physician | 43165 | NJ | — |
| 207RH0003X | Hematology & Oncology Physician | MA53599 | NJ | — |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 03/14/2013
