Organization
US MEDGROUP OF NEW JERSEY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W TOM FOGARTY MD (EVP, CMO)
(800) 232-3550
Entity
Organization
Contact information
Practice address
989 CORPORATE BLVD, SUITE A, LINTHICUM, MD 21090-2227
(888) 809-3214
(410) 850-4264
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST TOWER, ADDISON, TX 75001-4648
(800) 232-3550
(866) 465-4208
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
05/08/2009
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