# EAST ORANGE GENERAL HOSPITAL

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

## Provider details

- **NPI number:** 1972934495
- **Authorized official:** DR. MONICA C MELVILLE-BACON PHD- COUNSELING (MENTAL HEALTH CLINICIAN/SCREENER)
- **Authorized official phone:** (973) 743-3412

## Contact information

- **Practice address:** 300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
- **Practice address phone:** (973) 266-4478
- **Practice address fax:** (973) 266-4445
- **Mailing address:** 35 DIVISION ST, FLOOR 1, BLOOMFIELD, NJ 07003-3623
- **Mailing address phone:** (973) 743-3412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 44SW00925700 | NJ | Yes |

## Other

- **Enumeration date:** 12/09/2013
- **Last updated:** 01/09/2014