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Organization
UNIVERSITY MEDICAL AND TREATMENT CENTER INC.
Active
Organization
UNIVERSITY MEDICAL AND TREATMENT CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL ILOGU M.D. (PRESIDENT)
(732) 247-9001
Entity
Organization
Contact information
Practice address
33 CLYDE RD, SUITE 105, SOMERSET, NJ 08873-5032
(732) 247-9001
(732) 247-9002
Mailing address
33 CLYDE RD, SUITE 105, SOMERSET, NJ 08873-5032
(732) 247-9001
(732) 247-9002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06645800
NJ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7993501
—
NJ
Enumeration date
04/03/2015
Last updated
02/15/2017
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