# MONTCLAIR ENDOCRINE ASSOCIATES

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

## Provider details

- **NPI number:** 1871684407
- **Authorized official:** MARIS R DAVIS M.D. (PARTNER)
- **Authorized official phone:** (973) 744-3733

## Contact information

- **Practice address:** 119 GROVE ST, MONTCLAIR, NJ 07042-4044
- **Practice address phone:** (973) 744-3733
- **Practice address fax:** (973) 744-6996
- **Mailing address:** PO BOX 43545, UPPER MONTCLAIR, NJ 07043-0545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 12/16/2011
