Organization
WEEQUAHIC PARK SPORTS AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS FREEMAN (PRESIDENT)
(973) 877-9772
Entity
Organization
Contact information
Practice address
92 THOMAS CARMICHAEL DRIVE, NEWARK, NJ 07114
(973) 877-9772
(973) 877-9772
Mailing address
PO BOX 4252, NEWARK, NJ 07112-0252
(973) 877-9772
(973) 877-9772
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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