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Organization

UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC

Active
Parent organization
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Other names
University Neuro-Ophthalmology Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Authorized official
DAVID HAIER (CEO)
(973) 972-9503
Entity
Organization

Contact information

Practice address
90 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-2020
Mailing address
30 BERGEN ST, ADMC 121205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3434303
NJ
Enumeration date
08/08/2006
Last updated
07/15/2021
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