Organization
OM MEDICAL GROUP PC
Active
Other names
BRANFORD MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D COLLIN MD (DIRECTOR)
(973) 424-0080
Entity
Organization
Contact information
Practice address
23 BRANFORD PL, NEWARK, NJ 07102-2711
(973) 424-0080
(973) 424-0088
Mailing address
23 BRANFORD PL, NEWARK, NJ 07102-2711
(973) 424-0080
(973) 424-0088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04353300
NJ
Other
Enumeration date
09/16/2011
Last updated
09/29/2011
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