Organization
NEW JERSEY PERINATAL ASSOC. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD WOLF MD (DELEGATED OFFICIAL)
(973) 322-5287
Entity
Organization
Contact information
Practice address
94 OLD SHORT HILLS RD, EAST WING, SUITE 402, LIVINGSTON, NJ 07039-5672
(973) 322-5287
Mailing address
PO BOX 51027, NEWARK, NJ 07101-5127
(973) 322-5287
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06073400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122501000
AMERIHEALTH GROUP #
NJ
01
—
2996603
AETNA HMO GROUP #
NJ
01
—
5980027
AETNA PPO GROUP #
NJ
05
—
6602908
—
NJ
01
—
CK7246
RAILROAD MCR GROUP #
NJ
Enumeration date
06/12/2006
Last updated
02/16/2009
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