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Organization

NEIGHBORHOOD HEALTH SERVICES CORPORATION

Active
Parent organization
NEIGHBORHOOD HEALTH SERVICES CORPORATION
Other names
Neighborhood Health Center - Phillipsburg
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEIGHBORHOOD HEALTH SERVICES CORPORATION
Authorized official
MR. DERRICK C. WILLIAMS (VICE PRESIDENT & COO)
(908) 753-6401
Entity
Organization

Contact information

Practice address
427-429 SOUTH MAIN STREET, PHILLIPSBURG, NJ 08865
(908) 454-4600
(908) 454-3619
Mailing address
1700-58 MYRTLE AVENUE, PLAINFIELD, NJ 07063
(908) 753-6401
(908) 753-6278

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
174400000X
Specialist
207R00000X
Internal Medicine Physician
25MA5775700
NJ
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
25MA04375900
NJ
208000000X
Pediatrics Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
24078
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0110001
NJ
Enumeration date
06/15/2006
Last updated
10/22/2015
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