Organization
MILLENNIUM HEALTHCARE OF CLIFTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZEV WACHTEL MD (MEDICAL DIRECTOR)
(973) 249-7700
Entity
Organization
Contact information
Practice address
925 CLIFTON AVE, SUITE #201, CLIFTON, NJ 07013-2724
(973) 249-7700
(973) 249-7705
Mailing address
925 CLIFTON AVE, SUITE #201, CLIFTON, NJ 07013-2724
(973) 249-7700
(973) 249-7705
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31C0001301
MEDICARE CCN
NJ
Enumeration date
08/12/2011
Last updated
01/21/2014
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