# CCG MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1720871635
- **Authorized official:** CLIFFORD M SALES MD (MANAGING BUSINESS PARTNER)
- **Authorized official phone:** (973) 759-9000

## Contact information

- **Practice address:** 433 CENTRAL AVE, WESTFIELD, NJ 07090-2520
- **Practice address phone:** (973) 759-9000
- **Mailing address:** 673 MORRIS AVE STE 201, SPRINGFIELD, NJ 07081-1512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2025
- **Last updated:** 05/23/2025