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Organization

EMERGENCY PHYSICIAN SERVICES OF NEW JERSEY PROFESSIONAL ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN TRACCI MOUGANIS (PE DIRECTOR)
(856) 686-4394
Entity
Organization

Contact information

Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(856) 686-4304
(865) 560-7078
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4304
(865) 560-7078

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
09/17/2014
Last updated
10/27/2020
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