Organization
INTERNAL MEDICINE FACULTY PRACTICE ASSOCIATES AT ST BARNABAS MED CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK AHEARN (DIRECTOR)
(732) 557-7119
Entity
Organization
Contact information
Practice address
101 OLD SHORT HILLS RD, SUITE 210, WEST ORANGE, NJ 07052-1000
(973) 322-6256
(973) 322-6241
Mailing address
PO BOX 18313, NEWARK, NJ 07191-8313
(732) 557-7160
(732) 557-7109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6462901
—
NJ
Enumeration date
05/04/2006
Last updated
01/28/2008
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