Organization
MONTCLAIR ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REKHA MIRYALA (MD)
(973) 338-3300
Entity
Organization
Contact information
Practice address
239 CLAREMONT AVE, MONTCLAIR, NJ 07042-2833
(973) 338-3300
(973) 338-0400
Mailing address
239 CLAREMONT AVE, MONTCLAIR, NJ 07042-2833
(973) 338-3300
(973) 338-0400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08463200
NJ
Other
Enumeration date
10/15/2010
Last updated
05/20/2014
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