Organization
FJPL EAST ORANGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HR MANAGER (MANAGER)
(973) 000-0000
Entity
Organization
Contact information
Practice address
276 PROSPECT ST, EAST ORANGE, NJ 07017-2889
(973) 000-0000
(862) 904-0044
Mailing address
110 SQUIRE HILL RD, MONTCLAIR, NJ 07043-2516
(973) 370-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08818300
NJ
207RI0200X
Infectious Disease Physician
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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