Organization
360 NEW JERSEY MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES VILLAR (ADMINISTRATOR)
(773) 645-1192
Entity
Organization
Contact information
Practice address
1139 E JERSEY ST, ELIZABETH, NJ 07201-2473
(551) 372-9260
Mailing address
971 US HIGHWAY 202 N STE N, BRANCHBURG, NJ 08876-3757
(551) 372-9260
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/09/2026
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