Organization
SOVEREIGN HEALTH OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONMOY SHARMA (OWNER)
(949) 276-5553
Entity
Organization
Contact information
Practice address
495 N 13TH ST, NEWARK, NJ 07107-1317
(949) 276-5553
(949) 542-4586
Mailing address
1221 PUERTA DEL SOL, SUITE 280, SAN CLEMENTE, CA 92673-6308
(949) 276-5553
(949) 542-4586
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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