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Organization

FJPL NEWARK PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HR MANAGER (MANAGER)
(973) 000-0000
Entity
Organization

Contact information

Practice address
119 CLIFFORD ST, SUITE 137, NEWARK, NJ 07105-1908
(973) 000-0000
(862) 904-0044
Mailing address
110 SQUIRE HILL RD, MONTCLAIR, NJ 07043-2516
(973) 370-4000
(862) 904-0044

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08818300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0263273
NJ
Enumeration date
10/10/2017
Last updated
07/29/2025
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