Organization
ST. MICHAELS MEDICAL CENTER
Active
Parent organization
ST. MICHAELS MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MICHAELS MEDICAL CENTER
Authorized official
DR. JASON SHAYNE DAZLEY MD (INTERNAL MEDICINE PHYSICIAN)
(732) 259-8446
Entity
Organization
Contact information
Practice address
927 RIDGEWOOD RD, MILLBURN, NJ 07041-1441
(732) 259-8446
Mailing address
927 RIDGEWOOD RD, MILLBURN, NJ 07041-1441
(732) 259-8446
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
25MA09562500
NJ
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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