Organization
CCG MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD M SALES MD (MANAGING BUSINESS PARTNER)
(973) 759-9000
Entity
Organization
Contact information
Practice address
433 CENTRAL AVE, WESTFIELD, NJ 07090-2520
(973) 759-9000
Mailing address
673 MORRIS AVE STE 201, SPRINGFIELD, NJ 07081-1512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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