Organization
OPTIMUM HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY DRICE M.D. (PRESIDENT)
(973) 378-2266
Entity
Organization
Contact information
Practice address
2040 MILLBURN AVE, SUITE 401, MAPLEWOOD, NJ 07040-3726
(973) 378-2266
Mailing address
2040 MILLBURN AVE, SUITE 401, MAPLEWOOD, NJ 07040-3726
(973) 378-2266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA057613
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6659403
—
NJ
01
—
MA057613
MEDICAL LICENSE
NJ
Enumeration date
08/17/2006
Last updated
08/22/2020
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