Organization
NJCRI PHYSICIANS GROUP PC
Active
Parent organization
NORTH JERSEY COMMUNITY RESEARCH INITIATIVE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH JERSEY COMMUNITY RESEARCH INITIATIVE
Authorized official
MR. SHAWN EKWALL MBA (ADMINISTRATOR)
(973) 483-3444
Entity
Organization
Contact information
Practice address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 483-3444
(347) 342-0769
Mailing address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 483-3444
(347) 342-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207R00000X
Internal Medicine Physician
Primary
25MA05479500
NJ
Other
Enumeration date
08/29/2016
Last updated
04/12/2017
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