Organization
JEAN M AUGUSTIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M AUGUSTIN MD (PRESIDENT)
(973) 373-6066
Entity
Organization
Contact information
Practice address
850 S 11TH ST, NEWARK, NJ 07108-1304
(973) 373-6066
(973) 824-7960
Mailing address
850 S 11TH ST, NEWARK, NJ 07108-1304
(973) 373-6066
(973) 824-7960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA02435600
NJ
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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