Organization
MERIDIAN MEDICAL GROUP-PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALOYSIUS CLARKE MD (EVP AND PRESIDENT)
(732) 765-6317
Entity
Organization
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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