Organization
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Active
Parent organization
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Other names
University Psychiatric Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Authorized official
DAVID HAIER (CEO/EXECUTIVE DIRECTOR)
(973) 972-9503
Entity
Organization
Contact information
Practice address
185 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-2977
Mailing address
30 BERGEN ST, ADMC 121205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2814731
—
NJ
Enumeration date
08/08/2006
Last updated
08/13/2019
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