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Organization

SAINT MICHAEL'S MEDICAL CENTER, INC.

Active
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Organization

SAINT MICHAEL'S MEDICAL CENTER, INC.

Active
Other names
Saint Michael's Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS A PETTIGREW (CHIEF FINANCIAL OFFICER/CHIEF OPERA)
(973) 854-3588
Entity
Organization

Contact information

Practice address
111 CENTRAL AVENUE, NEWARK, NJ 07102-1909
(973) 877-5000
(973) 877-5367
Mailing address
111 CENTRAL AVENUE, NEWARK, NJ 07102-1909
(973) 877-2853
(973) 877-5367

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
10713
NJ
273R00000X
Psychiatric Hospital Unit
10713
NJ
282N00000X
General Acute Care Hospital
Primary
10713
NJ

Other

Enumeration date
08/11/2005
Last updated
10/24/2012
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