Organization
CITY OF NEWARK
Active
Other names
Newark Department of Health and Community Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
OLUYINKA FADAHUNSI MBA (FINANCIAL OPERATIONS OFFICER)
(973) 733-7558
Entity
Organization
Contact information
Practice address
140 BERGEN STREET, NEWARK, NJ 07103
(973) 733-7600
Mailing address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(973) 733-7600
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
70782
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403563
—
NJ
Enumeration date
08/30/2013
Last updated
01/26/2017
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