Organization
PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C.
Active
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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