# OM MEDICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BRANFORD MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801178736
- **Authorized official:** DR. ROBERT D COLLIN MD (DIRECTOR)
- **Authorized official phone:** (973) 424-0080

## Contact information

- **Practice address:** 23 BRANFORD PL, NEWARK, NJ 07102-2711
- **Practice address phone:** (973) 424-0080
- **Practice address fax:** (973) 424-0088
- **Mailing address:** 23 BRANFORD PL, NEWARK, NJ 07102-2711
- **Mailing address phone:** (973) 424-0080
- **Mailing address fax:** (973) 424-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA04353300 | NJ | Yes |

## Other

- **Enumeration date:** 09/16/2011
- **Last updated:** 09/29/2011