Organization
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY, INC.
Active
Organization
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY, INC.
Active
Other names
University Psychology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAIER (CEO)
(973) 972-9503
Entity
Organization
Contact information
Practice address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5313309
—
NJ
Enumeration date
02/06/2008
Last updated
07/15/2021
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