Organization
NEWARK BETH ISRAEL MEDICAL CENTER INC
Active
Parent organization
NEWARK BETH ISRAEL MEDICAL CENTER INC
Other names
NBIMC Regional Diagnostic and Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEWARK BETH ISRAEL MEDICAL CENTER INC
Authorized official
GALINA BEGUN (CREDENTIALING MANAGER)
(732) 557-7119
Entity
Organization
Contact information
Practice address
166 LYONS AVE, NEWARK, NJ 07112-2016
(732) 557-7119
(732) 557-7119
Mailing address
166 LYONS AVE, NEWARK, NJ 07112-2016
(732) 557-7119
(732) 557-7119
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051888
—
NJ
Enumeration date
11/20/2008
Last updated
11/20/2008
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