Organization
UNIVERSITY NEUROSURGERY ASSOCIATES (OM)
Active
Parent organization
UPA-OM, LLC
Other names
UPA-SPECIAL, L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPA-OM, LLC
Authorized official
DAVID HAIER (EXECUTIVE DIRECTOR/CEO)
(973) 972-5004
Entity
Organization
Contact information
Practice address
90 BERGEN ST STE 8100, NEWARK, NJ 07103-2425
(973) 972-2323
Mailing address
30 BERGEN ST # 1205, NEWARK, NJ 07107-3000
(973) 972-5004
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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