Organization
NBIMC DEPARTMENT OF GERIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ESPOSITO (DIRECTOR)
(732) 557-7160
Entity
Organization
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-8491
(973) 923-6599
Mailing address
PO BOX 18542, NEWARK, NJ 07191-8542
(732) 557-7160
(732) 557-7109
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8121401
—
NJ
Enumeration date
05/03/2006
Last updated
08/22/2020
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