Organization
NORTH JERSEY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOKE AGARWAL MD (OWNER)
(973) 684-8617
Entity
Organization
Contact information
Practice address
715 BROADWAY, PATERSON, NJ 07514-3406
(973) 684-8617
Mailing address
715 BROADWAY, PATERSON, NJ 07514-3406
(973) 684-8617
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA38759
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1119516
HORIZON NJ HEALTH
NJ
01
—
2497031
AETNA
—
05
—
8430306
—
NJ
Enumeration date
05/21/2007
Last updated
04/08/2008
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