Organization
SAINT MASIAH PREMIER HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE GORDON (OWNER)
(973) 444-5759
Entity
Organization
Contact information
Practice address
65B N 13TH ST, NEWARK, NJ 07107-1105
(973) 444-5759
Mailing address
65B N 13TH ST, NEWARK, NJ 07107-1105
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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