Organization
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES (OM)
Active
Parent organization
SPECIAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIAL LLC
Authorized official
DAVID HAIER (CEO)
(973) 972-9503
Entity
Organization
Contact information
Practice address
90 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-2548
Mailing address
30 BERGEN ST # 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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