Organization
NORTH JERSEY RHEUMATOLOGY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUELA G PEDRA-NOBRE M.D. (PRESIDENT)
(908) 233-9111
Entity
Organization
Contact information
Practice address
577 WESTFIELD AVE, WESTFIELD, NJ 07090-3373
(908) 233-9111
(908) 233-9920
Mailing address
PO BOX 4606, NORTH JERSEY RHEUMATOLOGY CENTER, PA, WARREN, NJ 07059
(908) 233-9111
(908) 233-9920
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MA057389
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA057389
LIC #
NJ
Enumeration date
08/31/2006
Last updated
05/12/2011
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