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Organization
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Active
Organization
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Active
Other names
New Jersey Family Practice Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAIER (CEO)
(973) 972-9503
Entity
Organization
Contact information
Practice address
90 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-3465
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5092205
—
NJ
Enumeration date
08/08/2006
Last updated
07/15/2021
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