# CLINICAL PRACTICE PC

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

## Provider details

- **NPI number:** 1568829448
- **Authorized official:** MICHAEL J SAULICH (EXECUTIVE DIRECTOR & CEO)
- **Authorized official phone:** (973) 972-5004

## Contact information

- **Practice address:** 90 BERGEN ST, NEWARK, NJ 07103-2425
- **Practice address phone:** (973) 972-5004
- **Mailing address:** 30 BERGEN ST, RM 1205, NEWARK, NJ 07107-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2016
- **Last updated:** 01/22/2016