Organization
CALDWELL MEDICAL CENTER GROUP
Active
Organization
CALDWELL MEDICAL CENTER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED YARAZAVI (BILLING MANAGER)
(973) 773-2037
Entity
Organization
Contact information
Practice address
360 BLOOMFIELD AVE, CALDWELL, NJ 07006-4905
(973) 226-8464
(973) 226-3750
Mailing address
PO BOX 4168, CLIFTON, NJ 07012-8168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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