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Organization

MONTCLAIR HOSPITAL LLC

Active
Parent organization
MONTCLAIR HOSPITAL LLC
Other names
Internal Medicine Department
Organization subpart
Yes

Provider details

NPI number
Legal business name
MONTCLAIR HOSPITAL LLC
Authorized official
JOE JOHNSON (VICE PRESIDENT)
(866) 465-9222
Entity
Organization

Contact information

Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6196
(973) 429-6565
Mailing address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6000
(973) 429-6209

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
09/08/2008
Last updated
06/11/2013
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