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Organization
UNITED CLINICAL GROUP NJ
Active
Organization
UNITED CLINICAL GROUP NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN S MACNIVEN (DIRECTOR)
(877) 328-7112
Entity
Organization
Contact information
Practice address
49 US HIGHWAY 202 STE 13A-10, FAR HILLS, NJ 07931-2445
(877) 328-7112
(877) 260-9979
Mailing address
49 US HIGHWAY 202 STE 13A-10, FAR HILLS, NJ 07931-2445
(877) 328-7112
(877) 260-9979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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