Organization
NEW JERSEY STAR ACO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE LISS MPA (CEO)
(973) 292-9496
Entity
Organization
Contact information
Practice address
1719 ROUTE 10, SUITE 303, PARSIPPANY, NJ 07054-4507
(973) 292-9496
(973) 292-1050
Mailing address
1719 ROUTE 10, SUITE 303, PARSIPPANY, NJ 07054-4507
(973) 292-9496
(973) 292-1050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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