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Organization

NOVA MEDICAL ENTERPRISES LIMITED LIABILITY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNAMARIA CONKLIN (CREDENTIALING COORDINATOR)
(973) 458-0422
Entity
Organization

Contact information

Practice address
158 HAMILTON AVE, PASSAIC, NJ 07055-5241
(973) 473-1800
(973) 614-8454
Mailing address
PO BOX 1719, CLIFTON, NJ 07015-1719
(973) 458-0422
(973) 458-0661

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
04/03/2007
Last updated
08/22/2020
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