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Organization

SAINT MICHAEL'S MEDICAL CENTER, INC.

Active
Other names
Saint Michael's Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS A PETTIGREW (CHIEF FINANCIAL OFFICER/CHIEF OPERA)
(973) 854-3588
Entity
Organization

Contact information

Practice address
111 CENTRAL AVENUE, NEWARK, NJ 07102-1909
(973) 877-5000
(973) 877-5367
Mailing address
111 CENTRAL AVENUE, NEWARK, NJ 07102-1909
(973) 877-2853
(973) 877-5367

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
10713
NJ
273R00000X
Psychiatric Hospital Unit
10713
NJ
282N00000X
General Acute Care Hospital
Primary
10713
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4140508
NJ
Enumeration date
08/11/2005
Last updated
10/24/2012
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