Organization
GREENVILLE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W NEWTON ACNP (OWNER)
(201) 547-3550
Entity
Organization
Contact information
Practice address
450 OCEAN AVE, JERSEY CITY, NJ 07305-3274
(201) 547-3550
Mailing address
450 OCEAN AVE, JERSEY CITY, NJ 07305-3274
(201) 547-3550
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NJ00436100
NJ
Other
Enumeration date
09/28/2015
Last updated
12/17/2015
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