Organization
CITYLIFE CLINICS NJ, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANG ASTON (CFO)
(615) 556-5908
Entity
Organization
Contact information
Practice address
44 JONES ST, NEWARK, NJ 07103
(267) 819-1800
Mailing address
601 TAYLOR ST, NASHVILLE, TN 37208-2635
(127) 099-9273
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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