Organization
PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C.
Active
Other names
TLS Newark Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WRIGHT (LEGAL COUNSEL)
(615) 577-5893
Entity
Organization
Contact information
Practice address
390 E PORT ST, NEWARK, NJ 07114-3115
(615) 468-3188
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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