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Organization

PETER HOE CLINIC @SMMC

Active
Parent organization
SAINT MICHAELS MEDICAL CENTER INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAINT MICHAELS MEDICAL CENTER INC
Authorized official
RONALD J NAPIORSKI (VICE PRESIDENT FINANCE)
(973) 690-3514
Entity
Organization

Contact information

Practice address
111 CENTRAL AVE, PETER HOE CLINIC, NEWARK, NJ 07102-1909
(973) 877-5649
Mailing address
1160 RAYMOND BLVD, 9TH FLOOR - PHYSICIAN SERVICES, NEWARK, NJ 07102-4168
(973) 491-2958

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
NJ
Enumeration date
03/27/2009
Last updated
03/27/2009
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