Organization
MY NJ MEDICINE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO SAMANIEGO MD (OWNER)
(973) 344-1313
Entity
Organization
Contact information
Practice address
76 PROSPECT ST, NEWARK, NJ 07105-1881
(973) 344-1313
(973) 900-8809
Mailing address
76 PROSPECT ST, NEWARK, NJ 07105-1881
(973) 344-1313
(973) 900-8809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P5595606
OXFORD
NJ
Enumeration date
12/17/2018
Last updated
12/17/2018
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