Organization
SAINT MICHAEL'S MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RICCI (CEO)
(973) 877-5000
Entity
Organization
Contact information
Practice address
111 CENTRAL AVE, CARDIOLOGY DEPT. FIFTH FLOOR, NEWARK, NJ 07102-1909
(973) 877-5061
Mailing address
16 RIVER RD, APT. K, NUTLEY, NJ 07110-3427
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
25MA09291600
NJ
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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