Organization
CITY OF NEWARK
Active
Other names
City of Newark/Dept of Health
Organization subpart
No
Provider details
NPI number
Authorized official
FIDELIA ODUTOLA (FINANCIAL OPERATIONS OFFICER)
(973) 733-7558
Entity
Organization
Contact information
Practice address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(973) 733-7558
Mailing address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(973) 733-7558
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
70782
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7748001
—
NJ
Enumeration date
08/07/2014
Last updated
11/06/2014
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