Organization
MICRO TECH TRAINING CENTER
Active
Other names
Jersey City Dental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. ALAA MOHSEN (PROFESSOR)
(201) 216-9901
Entity
Organization
Contact information
Practice address
684 NEWARK AVENUE, JERSEY CITY, NJ 07306
(201) 216-9901
Mailing address
684 NEWARK AVENUE, JERSEY CITY, NJ 07306
(201) 216-9901
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0506125
—
NJ
Enumeration date
01/22/2014
Last updated
05/24/2016
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