Organization
CITY OF NEWARK
Active
Other names
Newark Dept of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #3
Organization subpart
No
Provider details
NPI number
Authorized official
KETLEN ALSBROOK (DIRECTOR & CEO)
(973) 733-5310
Entity
Organization
Contact information
Practice address
350 WASHINGTON STREET, NEWARK, NJ 07102
(800) 734-7083
(973) 353-8438
Mailing address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(973) 424-4271
(973) 353-8438
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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