# 20 CLAIR STREET

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

## Provider details

- **NPI number:** 1447695044
- **Authorized official:** DARSHANABAHEN JAYESHKUMAR MISTRY NP (NP)
- **Authorized official phone:** (973) 473-3163

## Contact information

- **Practice address:** 20 CLAIR ST, CLIFTON, NJ 07013-2618
- **Practice address phone:** (973) 473-3163
- **Mailing address:** 20 CLAIR ST, CLIFTON, NJ 07013-2618
- **Mailing address phone:** (973) 473-3163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SA2200X | Adult Health Clinical Nurse Specialist | 26NJ00431900 | NJ | Yes |

## Other

- **Enumeration date:** 05/08/2013
- **Last updated:** 05/08/2013