# US MEDGROUP OF NEW JERSEY PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Concentra Advanced Specialist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194155127
- **Authorized official:** ROBERT HASSETT DO (PRESIDENT)
- **Authorized official phone:** (972) 364-8000

## Contact information

- **Practice address:** 811 CROMWELL PARK DR, STE. 104 -105, GLEN BURNIE, MD 21061-2566
- **Practice address phone:** (410) 553-0110
- **Mailing address:** 5080 SPECTRUM DR, SUITE 1200 WEST TOWER, ADDISON, TX 75001-4648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/12/2013
- **Last updated:** 06/30/2015