Organization
CLOSTER MEDICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALURE CHURCHILL (OFFICE MANAGER)
(201) 768-3900
Entity
Organization
Contact information
Practice address
200 CLOSTER DOCK RD, CLOSTER, NJ 07624-1928
(201) 768-3900
(201) 768-3840
Mailing address
200 CLOSTER DOCK RD, CLOSTER, NJ 07624-1928
(201) 768-3900
(201) 768-3840
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7261403
—
NJ
Enumeration date
05/03/2007
Last updated
08/02/2010
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