Organization
NOVA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARDS AFONJA MD (OWNER)
(973) 473-1800
Entity
Organization
Contact information
Practice address
158 HAMILTON AVE, PASSAIC, NJ 07055-5241
(973) 473-1800
Mailing address
PO BOX 1719, CLIFTON, NJ 07015-1719
(973) 473-1800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA76547
NJ
Other
Enumeration date
05/25/2006
Last updated
08/22/2020
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