# ESSEX OB-GYN, LLC

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

## Provider details

- **NPI number:** 1811017361
- **Authorized official:** JANE S LEE MD (PRESIDENT)
- **Authorized official phone:** (973) 509-3888

## Contact information

- **Practice address:** 85 PARK ST, MONTCLAIR, NJ 07042-3465
- **Practice address phone:** (973) 509-3888
- **Practice address fax:** (973) 509-3880
- **Mailing address:** 85 PARK ST, MONTCLAIR, NJ 07042-3465
- **Mailing address phone:** (973) 509-3888
- **Mailing address fax:** (973) 509-3880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA06099300 | NJ | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 04/15/2013
