Organization
NIA MEDICAL CENTER AND SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMA B. MILANES ROBERTS MD (CHIEF OF OPERATIONS)
(973) 481-0501
Entity
Organization
Contact information
Practice address
851 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3228
(973) 481-0501
(973) 481-0503
Mailing address
851 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3228
(973) 481-0501
(973) 481-0503
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MA68696
NJ
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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