Organization
EAST ORANGE GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS LANZA (CFO)
(973) 414-3405
Entity
Organization
Contact information
Practice address
300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
(973) 266-4420
(973) 266-8490
Mailing address
300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
(973) 266-4420
(973) 266-8490
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
10704
NJ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
06/08/2016
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