Organization
SAINT MARY'S PASSAIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DE MARTINIS (MANAGER PFS)
(973) 983-1651
Entity
Organization
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 983-1651
Mailing address
350 BOULEVARD, PASSAIC, NJ 07055-2840
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432491
—
NJ
Enumeration date
02/13/2017
Last updated
02/13/2017
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