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Organization
NBIMC PROVIDER SERVICES
Active
Organization
NBIMC PROVIDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALWELL (VP PHYSICIAN REVENUE)
(973) 322-4382
Entity
Organization
Contact information
Practice address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(973) 322-4382
Mailing address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(973) 322-4382
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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