Organization
AMERIGROUP NEW JERSEY, INC.
Active
Other names
AMERIGROUP Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER D HAYTAIAN (CEO AND PRESIDENT)
(732) 452-6000
Entity
Organization
Contact information
Practice address
399 THORNALL ST, NINTH FLOOR, EDISON, NJ 08837-2236
(732) 452-6000
(732) 452-0407
Mailing address
399 THORNALL ST, NINTH FLOOR, EDISON, NJ 08837-2236
(732) 452-6000
(732) 452-0407
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670043
—
NJ
Enumeration date
12/01/2005
Last updated
08/22/2007
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