Organization
MEDEXPRESS URGENT CARE - NORTHERN NEW JERSEY, PC
Active
Other names
MedExpress Urgent Care - Bloomfield, Bloomfield Ave
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT GALL (DIRECTOR PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
135 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-5902
(973) 748-7459
(973) 748-9719
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
01/31/2019
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