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Organization
BLUE STAR MEDICAL GROUP
Active
Organization
BLUE STAR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HR MANAGER (MANAGER)
(973) 777-0000
Entity
Organization
Contact information
Practice address
110 SQUIRE HILL RD, MONTCLAIR, NJ 07043-2516
(973) 777-0000
(973) 370-4040
Mailing address
110 SQUIRE HILL RD, MONTCLAIR, NJ 07043-2516
(973) 370-4000
(973) 370-4040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/02/2020
Last updated
07/29/2025
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