Organization
DIABETES ENDCOCRINOLOGY METABOLISM SPEC
Active
Parent organization
DIABETES ENDCOCRINOLOGY METABOLISM SPEC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIABETES ENDCOCRINOLOGY METABOLISM SPEC
Authorized official
CHRIS DONNELLY (MANAGER)
(973) 471-2692
Entity
Organization
Contact information
Practice address
6 BRIGHTON RD, CLIFTON, NJ 07012-1647
(973) 471-2692
(973) 470-8188
Mailing address
6 BRIGHTON RD, CLIFTON, NJ 07012-1647
(973) 471-2692
(973) 470-8188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207R00000X
NJ
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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