Organization
HUMC OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT RICCITELI (VP FINANCE)
(201) 418-2184
Entity
Organization
Contact information
Practice address
122-132 CLINTON ST, HOBOKEN, NJ 07030-8519
(201) 418-3109
(201) 418-3147
Mailing address
PO BOX 48309, NEWARK, NJ 07101-4800
(201) 418-3109
(201) 418-3147
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10908
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4137906
—
NJ
Enumeration date
08/20/2007
Last updated
09/14/2011
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