Organization
CLIFTON WALLINGTON MEDICAL GROPU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY DEVIRGILIO (BILLING MANANGER)
(973) 473-4624
Entity
Organization
Contact information
Practice address
1033 CLIFTON AVE, SUITE 210, CLIFTON, NJ 07013-3517
(973) 473-4624
(973) 476-4547
Mailing address
1033 CLIFTON AVE, SUITE 210, CLIFTON, NJ 07013-3517
(973) 473-4624
(973) 476-4547
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA05999500
NJ
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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