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Organization
UNION MEDICAL GROUP, LLC
Active
Organization
UNION MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEREIDA DIAZ JOHNSON MD (PRESIDENT)
(908) 688-5000
Entity
Organization
Contact information
Practice address
2333 MORRIS AVE STE A109, UNION, NJ 07083-5715
(908) 688-5000
Mailing address
2333 MORRIS AVE STE A109, UNION, NJ 07083-5715
(908) 688-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA049304
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256404
—
NJ
Enumeration date
04/11/2007
Last updated
03/31/2020
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