# CAG MEMORIAL HEALTH CENTER

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

## Provider details

- **NPI number:** 1376799932
- **Authorized official:** DR. JONATHAN C. GIBBS JR. M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (201) 333-0094

## Contact information

- **Practice address:** 75 HARRISON AVE, SUITE \#2, JERSEY CITY, NJ 07304-2555
- **Practice address phone:** (201) 333-0094
- **Practice address fax:** (201) 333-6538
- **Mailing address:** 75 HARRISON AVE, SUITE \#2, JERSEY CITY, NJ 07304-2555
- **Mailing address phone:** (201) 333-0094
- **Mailing address fax:** (201) 333-6538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | MAO13695 | NJ | Yes |

## Other

- **Enumeration date:** 08/14/2008
- **Last updated:** 08/14/2008