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Organization

MEDEXPRESS URGENT CARE - NORTHERN NEW JERSEY, PC

Active
Other names
MedExpress Urgent Care - Lodi
Organization subpart
No

Provider details

NPI number
Authorized official
BRETT GALL (DIRECTOR PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization

Contact information

Practice address
184 ESSEX ST, SPACE F1, LODI, NJ 07644-2707
(201) 843-3207
(201) 843-3215
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0347116
NJ
Enumeration date
08/30/2013
Last updated
01/31/2019
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