Organization
ASTRA HEALTH CENTER OF NEWARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RUSSO (ADMINISTRATOR)
(201) 468-8888
Entity
Organization
Contact information
Practice address
41 WILSON AVE., NEWARK NJ, NJ 07105
(201) 468-8888
Mailing address
41 WILSON AVE, NEWARK, NJ 07105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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