# DERRICK ALLOWAY MEDICAL ARTS, LLC

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

## Provider details

- **NPI number:** 1841799988
- **Authorized official:** DERRICK JASON ALLOWAY LCSW (CEO)
- **Authorized official phone:** (201) 207-9243

## Contact information

- **Practice address:** 305 PARK AVE \# 2, RUTHERFORD, NJ 07070-2748
- **Practice address phone:** (201) 207-9243
- **Practice address fax:** (888) 627-5578
- **Mailing address:** 305 PARK AVE, RUTHERFORD, NJ 07070-2748
- **Mailing address phone:** (201) 207-9243
- **Mailing address fax:** (888) 627-5578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171R00000X | Interpreter | — | NULL | Yes |
| 171R00000X | Interpreter | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2018
- **Last updated:** 02/05/2018