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Organization

MONTCLAIR FAMILY PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE C. FLORES D.O. (PHYSICIAN, PARTNER)
(973) 743-2321
Entity
Organization

Contact information

Practice address
230 SHERMAN AVE, SUITE A, GLEN RIDGE, NJ 07028-1529
(973) 743-2321
(973) 259-0600
Mailing address
230 SHERMAN AVE, SUITE A, GLEN RIDGE, NJ 07028-1529
(973) 743-2321
(973) 259-0600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05438000
NJ

Other

Enumeration date
02/12/2007
Last updated
06/28/2012
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