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Organization
UPA NP LLC
Active
Organization
UPA NP LLC
Active
Other names
New Jersey Family Practice Center NP
Organization subpart
No
Provider details
NPI number
Authorized official
SIMI BAKSHI (CHIEF FINANCIAL OFFICER)
(973) 972-6713
Entity
Organization
Contact information
Practice address
30 BERGEN STREET, ADMC 121205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Mailing address
30 BERGEN STREET, ADMC 121205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
07/17/2008
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