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Organization

NBIMC PROVIDER SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL ALWELL (VP PHYSICIAN REVENUE)
(973) 322-4382
Entity
Organization

Contact information

Practice address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(973) 322-4382
Mailing address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(973) 322-4382

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207ZP0101X
Anatomic Pathology Physician
Primary
2080N0001X
Neonatal-Perinatal Medicine Physician

Other

Enumeration date
02/10/2017
Last updated
02/10/2017
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