Organization
UNIVERSITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GARY HUCK (CFO)
(973) 972-0882
Entity
Organization
Contact information
Practice address
140 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-4300
Mailing address
140 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-4300
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
04/04/2024
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