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Organization
CLINICAL CONSULTING GROUP INC
Active
Organization
CLINICAL CONSULTING GROUP INC
Active
Other names
Clinical Consulting Group
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF LATIF PHARMD (AUTHORIZED OFFICIAL)
(973) 417-6871
Entity
Organization
Contact information
Practice address
405 CENTRAL AVE, EAST ORANGE, NJ 07018-2553
(973) 417-6871
Mailing address
529-531 CLIFTON AVE, NEWARK, NJ 07104
(973) 417-6871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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