Organization
SAINT MICHAELS MEDICAL CENTER INC.
Active
Other names
The Peter Ho Memorial Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A RICCI (CHIEF EXECUTIVE OFFICER)
(973) 877-5350
Entity
Organization
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5649
(973) 877-2824
Mailing address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5649
(973) 877-2824
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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