Organization
URBAN HEALTHCARE INITIATIVE PROGRAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC DAVID THOMAS M.D. (VICE PRESIDENT)
(908) 625-7887
Entity
Organization
Contact information
Practice address
613 PARK AVENUE, EAST ORANGE, NJ 07017
(908) 625-7887
Mailing address
613 PARK AVE, EAST ORANGE, NJ 07017-1905
(908) 625-7887
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
09/28/2011
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