Organization
NEW JERSEY MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE LEE (OFFICE MANAGER)
(201) 503-0828
Entity
Organization
Contact information
Practice address
464 HUDSON TER, SUITE 201, ENGLEWOOD CLIFFS, NJ 07632-2902
(201) 503-0828
(201) 503-0848
Mailing address
464 HUDSON TER, SUITE 201, ENGLEWOOD CLIFFS, NJ 07632-2902
(201) 503-0828
(201) 503-0848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA53599
NJ
207RC0000X
Cardiovascular Disease Physician
MA45119
NJ
207RG0100X
Gastroenterology Physician
43165
NJ
207RH0003X
Hematology & Oncology Physician
MA53599
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6919405
—
NJ
Enumeration date
01/09/2007
Last updated
03/14/2013
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