Organization
MONTCLAIR HOSPITAL LLC
Active
Other names
Montclair Multi Speciality Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE JOHNSON (OFFICER)
(866) 465-9222
Entity
Organization
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6002
Mailing address
2400 DALLAS PKWY, SUITE 450, PLANO, TX 75093-4370
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
11/17/2016
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