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Organization

INTERNAL MEDICINE FACULTY PRACTICE ASSOCIATES AT ST BARNABAS MED CTR

Active
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Organization

INTERNAL MEDICINE FACULTY PRACTICE ASSOCIATES AT ST BARNABAS MED CTR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK AHEARN (DIRECTOR)
(732) 557-7119
Entity
Organization

Contact information

Practice address
101 OLD SHORT HILLS RD, SUITE 210, WEST ORANGE, NJ 07052-1000
(973) 322-6256
(973) 322-6241
Mailing address
PO BOX 18313, NEWARK, NJ 07191-8313
(732) 557-7160
(732) 557-7109

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
05/04/2006
Last updated
01/28/2008
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