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Organization
CRYSTAL MEDICAL GROUP PA
Active
Organization
CRYSTAL MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRMALA KANIA M.D. (PRESIDENT)
(973) 674-4542
Entity
Organization
Contact information
Practice address
310 CENTRAL AVE, SUITE 106, EAST ORANGE, NJ 07018-2835
(973) 674-4542
Mailing address
5 BROWN CT, LIVINGSTON, NJ 07039-1521
(973) 674-4542
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NJ
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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