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Organization
UNIVERSITY MEDICAL ASSOCIATES (OM)
Active
Organization
UNIVERSITY MEDICAL ASSOCIATES (OM)
Active
Parent organization
SPECIAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIAL LLC
Authorized official
DAVID HAIER (CEO)
(973) 972-9503
Entity
Organization
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
30 BERGEN ST # 1205, NEWARK, NJ 07107-3000
(973) 972-5004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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