Organization
CITY OF NEWARK
Active
Other names
Newark Department of Health and Community Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KETLEN ALSBROOK (CEO/DIRECTOR)
(973) 733-7558
Entity
Organization
Contact information
Practice address
394 UNIVERSITY AVE, NEWARK, NJ 07102-1221
(973) 733-7600
Mailing address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(973) 733-7600
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
70782
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390739
—
NJ
Enumeration date
08/21/2013
Last updated
04/18/2024
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