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Organization
SAINT MICHAELS MEDICAL CENTER INC.
Active
Organization
SAINT MICHAELS MEDICAL CENTER INC.
Active
Other names
The Peter Ho Memorial Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A RICCI (CHIEF EXECUTIVE OFFICER)
(973) 877-5350
Entity
Organization
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5649
(973) 877-2824
Mailing address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5649
(973) 877-2824
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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