# MY NJ MEDICINE CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306318241
- **Authorized official:** DR. EDUARDO SAMANIEGO MD (OWNER)
- **Authorized official phone:** (973) 344-1313

## Contact information

- **Practice address:** 76 PROSPECT ST, NEWARK, NJ 07105-1881
- **Practice address phone:** (973) 344-1313
- **Practice address fax:** (973) 900-8809
- **Mailing address:** 76 PROSPECT ST, NEWARK, NJ 07105-1881
- **Mailing address phone:** (973) 344-1313
- **Mailing address fax:** (973) 900-8809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 12/17/2018