Organization
MONTCLAIR UROLOGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER C BOORJIAN MD (PRESIDENT)
(973) 746-3322
Entity
Organization
Contact information
Practice address
777 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028-2325
(973) 746-3322
(973) 429-8765
Mailing address
777 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028-2325
(973) 746-3322
(973) 429-8765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA26559
NJ
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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