Organization
NEWARK BETH ISRAEL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL LEE BACON MSN (ADVANCED NURSE PRACTITIONER)
(973) 926-7320
Entity
Organization
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7320
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7320
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
26NJ00272500
NJ
Other
Enumeration date
09/24/2010
Last updated
10/01/2010
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