Organization
NEW COMMUNITY ECF AND MDC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SPATOLA (DIRECTOR)
(973) 624-2020
Entity
Organization
Contact information
Practice address
266 S ORANGE AVE, NEWARK, NJ 07103-2457
(973) 624-2020
Mailing address
266 S ORANGE AVE, NEWARK, NJ 07103-2457
(973) 624-2020
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
308334
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3752909
—
NJ
Enumeration date
03/06/2007
Last updated
08/22/2020
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