Organization
UNIVERSITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GARY HUCK (CFO)
(973) 972-0882
Entity
Organization
Contact information
Practice address
140 BERGEN STREET, DEPT. ACC CLINICS, F-1776, NEWARK, NJ 07103-2425
(973) 972-3282
Mailing address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-0882
(973) 972-9129
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
10702
NJ
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
03/28/2024
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